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<br />'.. <br /> <br />" <br /> <br />CITY OF ROSEVILLE <br />CAMPAIGN CONTRIBUTION REPORT <br /> <br />A candidate for office must file with the City Clerk. <br /> <br />Within the previous year no individual, commirteeor organization has made <br />one or more contributions that in the aggregate are greater than $50; or <br /> <br />KWithin 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 />Amount <br /> <br />Address <br /> <br />Employer or occupation <br />if self em .10 ed <br /> <br />'t-~ (j) <br />I L~f ; <br /> <br />(Use additional sheets. if needed.) <br /> <br />Name of Candidate -r;;-'t::::r) <br />Name of Person filing report <br />Address of Person filing report <br /> <br />X'""o U (;...1'" fU~ ~d nCc/ "- <br />I\-L. S'/8<f<.)n s <br />~ 11.-. 4 t., DIf+..U!:' i <br />~ ." v"<::-".... <br />" J~, tHtlI Y"Y) N , ~:. ...) <br /> <br />Signature <br /> <br /> <br /> <br /> <br />Period of time covered by this report: From <br /> <br />All infonnation in this report is public infonnation. <br /> <br />(Over) <br />