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<br />} <br /> <br />CITY OF ROSEVILLE <br />CAMP AIGN CONTRIBUTION REPORT <br /> <br />A candidate for office must file with the City Clerk. <br /> <br />Within the previous year no individual, committee or organization has made <br />one or more contributions that in the aggregate are greater than $50; or <br /> <br />Within the previous year the following individual(s), committee(s) or <br />organization(s) has (have) made one or more contributions that in the aggregate is <br />(are) greater than $50. <br /> <br />Date of Amount Name of individual, Address <br />contribution committee or or anization <br /> <br />Employer or occupation <br />if self em 10 ed <br /> <br /> <br />(Use additional sheets if needed.) <br /> <br /> <br />Signature <br /> <br />.- <br /> <br />Period of time covered by t report: From//~'??/ to //~e:?f -~ <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />