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<br />CAMPAIGN FINANCIAL REPORT ~AT ~ <br />CERTIFICATION OF FILING <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 cenification 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 />Name of candidate or ~ommittee <br /> <br /> <br />Office sought by candidat <br />(if applicable) <br /> <br /> <br />or <br /> <br />IdeAtifieatiaR af lIallat ~l:Ie5ti8" <br />(if applieable) <br /> <br />Check appropriate box below: <br /> <br />~ <br /> <br />I cenify that all campaign financial reports required by Minnesota Statutes 211A.02 have <br />been submitted to the filing officer. <br /> <br />D I certify that campaign contributions or disbursements did not exceed $750 in the calendar _r. <br /> <br /> <br />/-:3.-9~ <br /> <br />. <br />(Date) <br /> <br />SC-00211-01 8-89 <br /> <br />-; <br />