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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 contributions that in the aggregate are greater than $50; or <br /> <br />Xl 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 />Date of Amount Name of individual, Address Employer or occupation <br />contribution committee or organization if self employed <br /> ~ '~?'t ~q,J~~I' 1 f\ <br />b -1t.\-.oS 3?J. 90 (XI. \'Q."'-"n~ \Xr~6 ~ 'cor-, }.litiS hl) ~~~ <br /> <br />(Use additional sheets, if needed.) <br /> <br />Name of Candidate O.'5b \)en \-1(fS <br />Name of Person filing report ~~">-\-.Ve'l~rs <br />Address of Person filing report \~~LI ~~V'll'~w fl~, tv I <br />~~\J~l\ft.l MP c;~l\) <br /> <br />Signature <br /> <br /><2J"e>. ~ <br /> <br />Period of time covered by this report: From ~ ~ ~ - oS to q --<..:- ~ . <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />