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<br />CAMPAIGN FINANCIAL REPORT <br />CERTIFICATION OF FILING <br /> <br />ot: "S <br />Va ~~9 <br />) )_ """l- <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 211A.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 211 A. 06, subdivision 1) <br /> <br />~;:: :::::i:::a:~~:a::ittee ~~<:~~' ~::e:-:;';-; <br /> <br />(if applicable) <br /> <br />or <br /> <br />~ <br /> <br />Identification of ballot question <br />(if applicable) <br /> <br />Check appropriate box below: <br /> <br />o <br /> <br />I certify that aU campaign financial reports required by Minnesota Statutes 211A.02 have <br />been submitted to the filing officer. <br /> <br />aoertily that campaign contributions or disbursements did not exceed $750 in the calendar ~r. <br /> <br /> <br />-XJ <br />gnature of candidate or committee treasurer) <br /> <br />/// /%7 <br /> <br />(Date) <br /> <br />/ <br />L <br /> <br />SC-00211-01 8-89 <br />