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<br />Erik ldestr;ard <br /> <br />651-486-6394 <br /> <br />p.3 <br /> <br />CITY OF ROSEVILLE <br />CAMP AlGN 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 bas made <br />one or more contributions that in the aggregate are greater than $50; or <br /> <br />VJ 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 /> <br />Date of Amount Name of individual, Address <br />contribution committee or or ization <br /> 'li\; <br /> ~ .....L f . ;:1sC", <br /> ',\0 - <br /> \OU <br /> IC"\)' <br />j 2...", .c. s f <br />~.f '5 . \ ,'"'\ ~~~.. <br />;iV' <br /> <br /> <br />(Use additional sheets, if needed.) <br /> <br />,.. , <br /> <br />Name of candidatei-'11'Y\ V ..~'J\ { c~ . <br />Name of Person filing report l I( toC{ f?'\ .lA )fJ ~~ i'r;1l-l!-~1 <br />Address of Person filing report .~ 0 C7 0 \J (;C . ,f\; ,> . .. . <br /><-....,,~r. \ A'\. A' ((;:/"">1,, <br />..'1 \..( ~. <:J \ J \..J .i... A .J ~ H. I ).....l.. ~ \0:.0"'" <br /> <br /> <br />Signature (:2) . L{)~~';:;/a /7) . <br />'C) <br />Periodoftimecoveredbytbisreport: From ':: -lS-~ to 11--(; oS. <br /> <br />All information in this report is public information. <br /> <br />(Over) <br /> <br />".. <br />