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<br />CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING <br /> <br />Each county, municipal or school district candidate or treasurer of a committee formed to promote or <br />defeat a ballot question shall certify to the filing officer that all reports required by Minnesota Statutes <br />211 A. 02 have been submitted to the filing officer or that the candidate or committee has not received <br />contributions or made disbursements exceedin $750 in the calendar year. The certification shall be <br />submitted to the filing officer not later tha even days after the general or special election. (Minnesota <br />Statutes 211 A. 05, subdivision 1) <br /> <br />Name of candidate or committee <br /> <br />Ct(,!& J<k/J.Jln~ <br />IffJJeviJJe !ll/lJlt' <br />/ <br /> <br />Office sought by candidate <br />(if applicable) <br /> <br />or <br /> <br />Identification of ballot question <br /> <br />Check the appropriate box below: <br /> <br />~ <br />D <br /> <br />I do swear (or affirm) that all campaign financial reports required by <br />Minnesota Statutes 211A.02 have been submitted to the filing officer. <br /> <br />I do swear (or affirm) that campaign contributions or disbursements did not <br />exceed $750 in the calendar year. <br /> <br /> <br />. ee treasurer) <br /> <br />IJ};J/tf/' <br />(Date) <br />