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<br />Erik Westgsrd <br /> <br />651-486-6394 <br /> <br />p.4 <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 />L 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 orlzanization if self emoloyed <br /> , r~ <br /> .:.' H~.H._. ,. :_, '"\: I . II '.. i:,(, ~\ <br /> o -~-'I'( . <br /> _.-.~ \, ", , \, \ <br /> '-- <br /> <br />(Use additional sheets, if needed.) <br /> <br />Name of Candidate Dn <br />Name of Person filing repo <br />Address of Person filing report <br /> <br /> <br />Signature <br /> <br />;:: . ).~ ( <br />0. LI..,~\::":~( "l . <br />I <br />-. ..... <br /> <br />.... <br /> <br />Period oftime covered by this report: From \ti... L\ -lAP to \:) -&;S .010 <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />