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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 <br />promote or defeat a ballot questions shall certify to the filing officer that all reports required <br />by Minnesota Statutes 211A.02 have been submitted to the filing officer or that the candi- <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 />. . c: - ~~ <br />Name of candidate or committee ~~~ . <br /> <br />"'x, <br /> <br />Office sought by candidate <br />(if applicable) <br /> <br />~~e~ <br /> <br />or <br /> <br />AVA. <br /> <br />, <br /> <br />Identification of ballot question <br /> <br />Check the appropriate box below: <br /> <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 />~ <br /> <br />I do swear (or affirm) that campaign contributions or disbursements did not <br />exceed $750 in the calendar y~ar. <br /> <br />-~ <br /> <br />A4.~ <br />I()-; V~s- <br />(Da(e) <br /> <br />g <br /> <br />(Signatur <br /> <br /> <br />candidate or committee treasurer) <br /> <br />98finrpt.p65 <br />