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<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, committee or organization has made <br />one or more contri~utions that in the aggregate are greater than $50; or <br /> <br />X' 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 />Amount Name of individual, Address Employer or occupation <br /> committee or or anization ifself em loyed <br />rOO~ ~ .19C.lCJCSOf'..\ <br />~IOO~ <br />~~-O~ CH I2.LS <br />'t'ot> Q2. AN/\,j FA-\..LOII.j <br />ft 50 et) c.R.A-\G-- ~\IUG- <br />rf:, 00 ~ H. " I( <br /> <br /> <br /> <br /> <br />(Use additional sheets, if needed.) <br /> <br />(U)'t" <br />J),A-N Me- <br />Uoc AOOt0 ~T to <br />t<..PS€blLL~ /IIIN $1' 3 <br /> <br />Signature ~ <br /> <br />Period of time covered by this report: From ~ to I z.../~ 0 r. <br /> <br />Name of Candidate D~ <br />Name of Person filing report <br />Address of Person filing report <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />