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<br />CAMPAIGN FINANCIAL REPORT <br />CERTIFICATION OF FILING <br /> <br />#~~~~~~ <br />~ (-'''"2- <br />I <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 211 A. 06, subdivision 1) <br /> <br />Name of ca ndidate or com m ittee _12., R. <.. ~ ~.... -\ VY\ ~ ~ () "'- <br />Ct:".- 0.-"" ('~.\.. \ <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 certify that all campaign financial reports required by Minnesota Statutes 211A.02 have <br />~ been submitted to the filing officer. . <br /> <br />DICertify that campaign contributions or disbursements.did not exceed $750 in the calendar year. <br /> <br />~ ill L- <br /> <br />fl- ?, <;(( <br />(Date) <br /> <br />(Signature of candidate or committee treasurer) <br /> <br />SC-00211-01 8-89 <br />