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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 />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 $50. <br /> <br />Date of Amount Name of individual, Address Employer or occupation <br />contribution committee or organization if self employed <br /> <br />(Use additional sheets, if needed.) <br /> <br />Name of Candidate jO ~ jVlA e.H'Io vis /(,'1 <br />Name of Person filing report <br />Address of Person filing report Z b rp ..Ill OXf'oRD Sf: ~/S <br />J(D$clf/Llg, MAl S.s-//3 <br />. <br /> <br /> <br />Signature ~ a. ~~ <br /> <br />Period of time covered by this report: From 7..- 25" to f -1:<' -0 {, . <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />