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<br />OCT,28.200610:01AM <br /> <br />NO. 8927-P. 2 <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 />X 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 /> <br />IOO~ <br /> <br /> <br />Address <br /> <br />Amount Name of individual, <br />committee or or . zation <br /> <br />00 <br />100 <br />o~ <br />100 ... <br /> <br />IOD~ <br /> <br />~ <br />L.lArt'1il1a.. Enj il'1,"O';~ <br />~~tbf\G" <br /> <br />,... <br /> <br />(Use additional sheets, if needed.) <br /> <br />Name of Candidate ~(eY\ A. St:..tr-a~v- .---:--- <br />Name ofPcrson filing report ka-;I7(n.. ~ me ~~ y /'rle..c ~S) Il1A';lsUr e..- <br />Address of Person filing report ~O() F~iM~ Avf'~ ~. <br /> <br />~~~l;~ ~ <br /> <br />{ <br />Period of time covered by this report: From C\ /, I OL, to to I ;)(, I D ~ <br />.. " <br /> <br />Signature <br /> <br />All infonnation in this report is public information. <br /> <br />(Over) <br />