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<br />APR-21-2004 12:33 <br /> <br />CITY -OF -ROSEIJ I LLE -ADr1 I t~ <br /> <br />6514902276 <br /> <br />P.03/05 <br /> <br />APR 2 1 ~ <br /> <br />CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING <br /> <br />Each county, municipal or school district candidate or treasurer of a committee formed to <br />promote or defeat a ballot questions shall certify to the filing officer that all reports required <br />by Minnesota Statutes 211 A. 02 have been submitted to the filing officer or that the candj~ <br />date or committee has not received contributions or made disbursements exceeding $750 <br />in the calendar year. The certification shall be submitted to the filing officer not later than <br />seven days after the general or special election. (Minnesota Statutes 211A.05, subdivision <br />1) <br /> <br />Name of candidate or committee V~ k:c/s ~ ~) Thl.c V\ <br /> <br />Office sought by candidate <br />(if applicable) <br /> <br />Ro~v,ll'- CIfJ LO"-1V\u'/ <br /> <br />or <br /> <br />Identification of ballot question <br /> <br />Check the appropriate box below: <br /> <br />'f;4 <br />D <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 />I do swear (or affirm) that campaign contributions or disbursements did not <br />exceed $750 in the calendar year. <br /> <br />~ J yL!L <br /> <br />(Signature of candidate or committee treasurer) <br /> <br />'1- 22-0'( <br />(Date) <br /> <br />98finrpt.p65 <br />