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<br />CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING <br /> <br />Each county, municipal or school district candidate or treasurer of a committee formed to promote or <br />defeat a ballot question shall certify to the filing officer that all reports required by Minnesota Statutes <br />211 A.02 have been submitted to the filing officer or that the candidate or committee has 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 Statutes <br />211A.05, subdivision 1) <br /> <br />or <br /> <br />Identification of ballot question <br /> <br />Check the appropriate box below: <br /> <br />~ <br /> <br />T do swear (or affirm) that an campaign financial reports required by <br />Minnesota Statutes 211 A.02 have been submitted to the filing officer. <br /> <br />o <br /> <br />T do swear (or affirm) that campaign contributions or disbursements did not <br />exceed $750 in the calendar year. <br /> <br /> <br />'6/31/03 <br /> <br />(Date) <br />