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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 individual(s), committ;e(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 />Date of Amount <br />contribution <br /> <br />Address <br /> <br />l:m - K'M6ev/t Lutld <br />16-0 - JiI~ ?d>EYl-J"DAJ <br />/~ - 7>JIIL l~ <br />I~'" ~~e Vt(f)~ <br /> <br />(Use additional sheets, if needed.) - <br /> <br />Name of Candidate JY7A~ <br />Name of Person filing report . ~/ <br />Address of Person filing report 'I 't 0/ 0 ljdi,.. J4i1<" /IV. <br />I<"S(!,II" /Ie I f11 N 5Si /.3 <br />, <br /> <br /> <br />Signature ~ 111, ~ <br />Period oftime covered by this report: From c;?t'/~ to cP h/~~ <br />r or, <br /> <br /> <br />All information in this report is public information. <br /> <br />(Over) <br />