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<br />1:: <br />o <br />Co <br />CD <br />0:: <br /> <br />8 <br />Ii: <br />o <br /> <br />CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br /> <br />Name of candidate, committee, or corporation , a VY\ fYl \ I P ~ s i' <br />, <br />Office sought or ballot question C 1'+ II (flU..IV\ r .A' I District <br /> <br />Rose.-v:UR <br /> <br />Type of report ~ <br /> <br />.x: <br /> <br />Period of time covered by report: <br />Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />Candidate report <br /> <br />from f' 1/04 to IZ/31/o~ <br /> <br />CONTRIBUTIONS RECEIVED <br />Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by <br />type (money or in-kind) rather than contributor. (See note on contribution limits on the back of this form. Use a separate <br />sheet to itemize all contributions from a single source that are equal to or greater than $500 during the calendar year.) <br /> <br />CASH <br /> <br />$ ~DD <br /> <br />+ <br /> <br />IN-KIND <br />TOTAL AMOUNT RECEIVED <br /> <br />$ <br />$ Roc') <br /> <br />EXPENDITURES <br /> <br />Include every disbursement made for a political purpose during period of time covered by report. Attach additional sheets if <br />necessa . <br /> <br />Date <br /> <br />Pu ose <br /> <br />TOTAL <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Amount <br /> <br />-0- <br /> <br />Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) total more <br />than $200. Submit a separate report for each project. Attach additional sheets if necessary. <br /> <br />CD <br />~ Project title or description <br />Z <br /> <br />>. <br />c <br />o <br />CD <br />tI) <br />:::l <br />8 <br />ii: <br />o <br /> <br />... <br />o <br />u. <br /> <br /> <br />Data <br /> <br />Purpose <br /> <br />Name and Address <br />of Recipient <br /> <br />Total <br /> <br />I certify that this is a full and true statement. <br /> <br />Address <br /> <br /><6 fb' H I'IJ wood A lff~ <br /> <br />17 1>S-e.N ; l ~ <br /> <br />MN <br /> <br />Expenditure or <br />Contribution <br />Amount <br /> <br />Office of the Secretary of State <br /> <br />41 <br /> <br />Last Updated: May 2004 <br />