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<br />NOV. 14.2006 2:43PM <br /> <br />NO. 8992 P. 2 <br /> <br />CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING <br /> <br />Each county, municipal or school district candidate or treasurer of a committee formed to promote or <br />defeat a ballot question shall certify to the filing officer that all reports required by Minnesota Statutes <br />211A.02 have been submitted to the filing officer or that the candidate or committee has not received <br />contributions or made disbursements exceeding $750 in the calendar year. The certification shall be <br />submitted to the filing officer not later than seven days after the general or special election. (Minnesota <br />Statutes 211A.05, subdivision 1) <br /> <br />Name of candidate or committee C-lli,5e..n.s W S~e..V"'" <br /> <br />Office sought by candidate t;~ C9UJo"\c..; I <br />(if applicable) <br /> <br />or <br /> <br />Identification of ballot question <br /> <br />Check the appropriate box belOW: <br /> <br />cpJ <br />D <br /> <br />I do swear (or affirm) that all campaign financial reports required by <br />Minnesota Statutes 211A.02 have been submitted to the filing officer. <br /> <br />I do swear (or affirm) that campaign contributions or di'" <br />exceed $750 in the calendar year. <br /> <br />,':lid not <br /> <br />~-,:~ -)~n~ <br />(Signature f candidate or com ittee treasurer) <br /> <br />II/life <br />· ( te) <br />