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<br />CAMPAIGN FINANCIAL REPORT <br />CERTIFICATION OF FILING <br /> <br />t~b~ <br /> <br />Each county, municipal or school district level candidate or treasurer of a committee formed to <br />promote or defeat a ballot question shall certify to the filing officer that all reports required by <br />Minnesota Statutes 211 A.02 have been submitted to the filing officer or that the candidate or <br />committee has not received contributions or made disbursements exceeding $750 in the calendar <br />year. The certification shall be submitted to the filing officer no later than seven days after the <br />general or special election. (Minnesota Statutes 211A.06, subdivision 1) <br /> <br />Name of candidate or committee <br /> <br />(J ,"; / ,"/1, y.... /)a. v :- c- 5 <br />C. ;--f '1 ( en'" "" ~.~ ) <br /> <br />Office sought by candidate <br />(if applicable) <br /> <br />or <br /> <br />Identification of ballot question <br />(if applicable) <br /> <br />Check appropriate box below: <br /> <br />I/r I certify that all campaign financial reports required by Minnesota Statutes 211A.02 have <br />I1LJ been submitted to the filing officer. <br /> <br />o I certify that campaign contributions or disbursements did not exceed $750 in the calendar year. <br /> <br /> <br />12/~/c!/ <br />(Date) <br /> <br />SC-00211-01 8-89 <br />