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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 />/ <br /> <br />L Within the previous year the following individual(s), committee(s) or <br />brganization(s) has (have) made one or more contributions that in the aggregate is <br />(are) greater than $50. <br /> <br />. <br /> <br />Date of Amount Name of individual, Address Employer or occupation <br />contribution committee or organization if self employed <br /> ,,{ " r' (ro 5f, <br />-/ u.1J-. D,rCltf a~1L <br />11- ,~() ':> leD <br />If -3 "I) { .~~ Q r~J)"';k .S (r!tVvp (s ~ 55-1ft f- <br />JOC " <br /> '/ V7~ <br />(J_.~-/)s- 1(,1, ).<;' k:"'. (( I ~ IUd-W ~ /U.j <br /> <br />(Use additional sheets, if needed.) <br /> <br />Name of Candidate q.-cvk e'l-~ti Y) 0 "- <br />Name of Person filing report '\3.&t.r-k> li.rt'- :r: <br />Address of Person filing report '~& E 4:.. S f <br />(.(r4 <br /> <br />~)J-uUt <br /> <br />- <br />~ I.- '1 t r r<-~~~ <br />~ I.' /L <br />{ "...; { rrvr.- C; <{ 0 I 'f <br /> <br />Signature <br /> <br /> <br />-- <br />Il-g~b~ <br /> <br />Period of time covered by this report: From l lJ - 21, b( to <br /> <br />. <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />