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<br />":.&h <br /> <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 />-L Within the previous year the following individua1(s), committee(s) or <br />organization(s) has (have) made one or more contributions that in the aggregate is <br />(are) greater than $50. <br /> <br />Date of Amount Name of individual, Address <br />contribution committee or or anization <br /> <br />Employer or occupation <br />if self em 1Q ed <br /> <br /> <br />(Use additional sheets, if needed.) <br /> <br />Name of Candidate pAN ~ <br />Name of Person filing report ~AN ('U)e' <br />Address of Person filing report z,t d) AU()[0 .$..~ <br /> <br />. ~M~ ~13 <br />SIgnature . <br />Period oftime covered by this report: From B/uJ05 to ~z,sfC>6 <br />All information in this report is public information. <br /> <br />(Over) <br />