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<br />SEP. 8.2006 2:41PM <br /> <br />NO. 8801-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 />, <br /> <br />Within the previous year no individual, committee or organization has made <br />one or more contributions that in the aggregate are &Teater than $50; or <br /> <br />~ Within the previous year the fOllowing individual(s), committee(.) or <br />organization(s) has (have) made one or more contributions that in the aggregate is <br />(are) greater than $50. <br /> <br />, <br /> <br />Date of Amount Name of individual, Address Employer 01" occupation <br />contribution committee or organization if self employed <br />~/2blol. ... ~,DO Kale" ~r" .2.100 ~IM 'tA,ov ~ illSi~4-'CDIJ~ 4&~ <br />~/I'O/D~ rJ.. fsv/ ~1I.3 <br />=+{ d'S /01.., =tS.00 ~ W ote....v'\ Q.Y\.. Ils.o..g &,Q"Sllbil ~ dol;' Sl:~^,1- <br />eel-fslillt' ~D ~u1'OS <br />:r{~'i lo/.; 100.00 ~. ~{'~",be~ q, M.eC:t lOk S lal'\( rd-l',.ec1 <br />Q~I $113 <br /> 150.00 R, 5 c..h{'e tA....S 30S8 N. Wi\:~........ S't1 re+,'('"~t;l <br />8/'o./o~ ~~ 5'~n 3 <br /> <br />(Use additional sheets) if needed.) <br /> <br />Signature <br /> <br />Name of Candidate t:ar~ ;e.l1.~4).-r <br />Name of Person filing report t--5r...s IT.-:: ScJ-,"'W...., A~ -Pe1ev.. T ;U~ <br />Address of Person filing report 10D RM'vvi~ Ave. tV. <br />Qcgp...vll Ie 1-1 t..) 5511 ~ <br /> <br />f2R'1 'f~ <br /> <br />Period of time covered by this report: From 1'"' I A" LQI.so to q h I 0 fJ . <br />. <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />