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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 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 Employer or occupation <br />contribution committee or orJ~anization if self emDloved <br /> ~ <br /> .. .+ l-A~ ~J <br /> I ~OJvlV <br /> ~ I <br /> <br />(Use additional sheets, ifneeded.) <br /> <br />Name of Candidate <br />Name of Person filing report <br />Address of Person filing report <br /> <br />D~~ <br />DAN~ <br />z.A nO A-\)Ot-.J ~,.j. <br />~~>~\U..b( tAN ~/5 <br /> <br />Signature <br /> <br />Period of time covered by this report: Fro - ~UI06 to~. <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />