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<br />07/01/04 THU 08:15 FAX 651 639 4014 <br /> <br />MN WEIGHTS & MEASURES <br /> <br />~003 <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information In this report is public Information) <br /> <br />Name of candidate, committee, or corporation c., T'fZE.M ~~ [,'is Elfty <br /> <br />Office sought or ballot question ~C~..P...#CI '-' District <br /> <br />( ~f ;Z <br /> <br />Type of report <br /> <br />Candidate report <br />_____.____ Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />from 0/'" ~ <br /> <br />to ~(re>;;t( <br /> <br />Period of time covered by report: <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />- <br />.... <br />o <br />Cl. <br />(!) <br />a: <br /> <br />Give the total for all contributions received during the period of time covered by this report. Contributions should <br />be listed by type (money or in-kind) rather than contributor. (See note on contribution limits on the back of this <br />form. Use a separate sheet to itemize all contributions from a single source that are equal to or greater than <br />$500 during the calendar year.) <br /> <br />CASH <br /> <br />+ <br /> <br />$ <br />$ <br /> <br />IN-KIND <br /> <br />= <br /> <br />TOTAL AMOUNT RECEIVED $ <br /> <br />EXPENDITURES <br /> <br />(!) <br />(.) <br />i: <br />o <br /> <br />Include every disbursement made for a political purpose during period of jime covered by report. Attach addi- <br />tional sheets if necessary. <br /> <br />Date <br /> <br />Purpose <br /> <br />Amount <br /> <br />1f/7 <br />'III$'" <br />tf I'l/, <br />L( /(7 <br /> <br /> <br /> <br />I <br /> <br />"5$";- <br />$t1 . 'SS- <br />r t! :z.. <br /> <br /> <br />TOTAL <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) <br />total more than $200. Submit a separate report for each project. Attach additional sheets if necessary. <br /> <br />Project litle or description <br /> <br />(!) <br />E <br />ctl <br />z <br /> <br />Date Purpose Name and Address Expenditure or <br /> of Recipient Condition Amount <br /> TOTAL <br /> <br />~ <br />c: <br />o <br />(I,) <br />III <br />::l <br />CI.l <br />lJ <br />:E <br />o <br />.. <br />o <br />u.. <br /> <br />r certifylhatthls is a full and true statement. ~ ,,~ <br />Signature ~ <br /> <br />Address 1e-:z'5 At:rA ()/frA PRIVE <br /> <br />~JVL. ~o/ <br />Date <br /> <br />FINRPT Rev. 6/98 <br />