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<br /> <br />'e&' <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 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 />Name of candidate or committee <br /> <br />~q /)4~/~ <br /> <br />( <br /> <br />~/r <br />/ I ~~ .. _/'." <br />Office sought by candidate c_"~~,,y c--z__--~--_/ <br />(if applicable) <br /> <br />or <br /> <br />Identification of ballot question <br /> <br />Check the appropriate box below: <br /> <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 />I do swear (or affirm) that campaign contributions or disbursements did not <br />exceed $750 in th~ calendar year. <br /> <br />~ <br />./ / <br />.' {, ( - ....--: <br />_ I I. '''' r,~ <br />~K__Y ~ W~a<. ~ ~ <br />(Signatt.l-\e of candidate 0 ommittee treasurer) <br />) <br />98finrpt.p65 <br /> <br />/~.,.w& <br />?7} <br />(Date) <br />