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<br />11/24/2003 MON 11:00 FAX MAGUIRE AGENCY <br /> <br />@I;lOl <br /> <br />CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING <br /> <br />Each county, municipal or school district candidate or treasurer of a committee fanned to promote or <br />defeat a ballot question shall certify to the filing officer that aJ1 reports required by Minnesota Statutes <br />211A.02 have been submitted to the flling officer or iliat the candidate or committee bas not received <br />contributions or made disbursements exceeding $750 in the calendar year. The certification shall be submit- <br />ted to the filing officer not later than seven days after the general or special election. (Minnesota Statute... <br />21JA.05, subdivision 1) <br /> <br /> <br />Name of candidate or committee C. ('..i ~ V. \Il,,~ F ~ <br /> <br />Office sought by candidate f'^M,~ ~'-r <br />(if applicable) <br /> <br />~ ~~\ le. <br /> <br />or <br /> <br />Identification ofbaUot question <br /> <br />Check the appropriate box below: <br /> <br />~ <br /> <br />I do swear (or affirm) that all campaign financial reports required by <br />Minnesota Statutes 211 A.02 have been submitted to the filing officer. <br /> <br />D I do swear (or affirm) that campaign contributions or disbursements did not <br />~ \exceed $~ in the C\lendar year. <br /> <br />J ~ :ovL - \l\~ilo~ <br /> <br />( ignature of candidate or committee treasurer) (Date) <br />