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<br />... <br /> <br />~ <br /> <br />.. <br /> <br />,Q:>. --S' ~'q\ <br />~) 6 ~ <br />df-~ <br />Q."C) '\~) <br />,-- "'~ <br />J'-# <br /> <br />... <br />Ql <br />.Q <br />'d' g <br />Z <br />M 1:: <br />vf"'t".) &. <br />- 'Ql <br />....0: <br /> <br />STATEMENT OF RECEIPTS AND EXPENDITURES <br />pursuant to the Minnesota Fair Campaign Practices Act, Minn. Stat. ~210A.27, Subd. 1 <br /> <br />This STATEMENT OF RECEIPTS AND EXPENDITURES is to be used by candidates, committees, and corpora- <br />tions required by Minn. Stat. Ch. 210A to file such a report. These include candidates and committees in elections <br />for county office; municipal office in municipalities over 20,000 population; individuals, political committees, <br />associations, or corporations for ballot questions; and corporations spending more than $100 on certain activities to <br />encourage participation in precinct caucuses, voter registration, or voting. (For supplemental information, see page <br />four.) Candidates and committees for state constitutional office, state legislature, supreme court, district court, <br />county court, and committees for state constitutional amendments are not included; candidates and committees for <br />U.S. senate and U.S. representative in congress may file copies of their federally-required disclosures in lieu of this <br />statement. <br /> <br />This statement is to be filed with the filing officer designated in Minn. Stat. ~~210A.26, Subds. 2-4, and 210A.34, <br />Subd. 8; questions about completing and filing this statement may be directed to that filing officer. <br /> <br /> <br />... <br />... <br />o <br />a. <br />Ql <br />0: <br /> <br />Name of candidate, committee, o~orporation '/2 <br /> <br />Office sought by candidate e/ TV {ba IV t!./ L District <br />(if applicable) <br /> <br />Identification of ballot question <br />(if applicable) <br /> <br />Type of report ~ Candidate report <br /> <br />_Party committee report <br /> <br />_ Personal campaign committee report <br /> <br />_Association or corporation report <br /> <br />_ Political committee report <br />Period of time covered by report: from Gc -f. I~ J'J 7 to ()c ~ ~~ 127 <br /> <br />SUMMARY STATEMENT TO DATE <br /> <br />TOTAL FOR <br />THIS REPORT <br /> <br />TOTAL FROM <br />PREVIOUS REPORT <br /> <br />TOTAL <br />TO DATE <br /> <br />Ql <br />(J <br />-.: <br />(5 RECEIPTS (Exhibit A) <br /> <br />PROMISES OR PLEDGES <br />RECEIVABLE (Exhibit B) <br /> <br />EXPENDITURES ACTUALLY <br />MADE (Exhibit C) <br /> <br />OBLIGATIONS INCURRED <br />BUT NOT PAID (Exhibit D) <br /> <br />+ <br /> <br />/" <br /> <br />...--- (." <br />.~"\ ,.---- <br /> <br />;5 . 9-f:- <br /> <br />/c" . <br /> <br />+ <br /> <br />'" <br /> <br />I do swear (or affirm) that I am ~r public office or an officer of the <br /> <br />"i.1t7/-1 / E ~SA L II &;(lZ) /1 co:?:mitt e or corporation and that this report is a full <br />and true statement pursuant to Minnesota Statutes Ch. 210A. <br /> <br />/-/ ~ -"". '" ~. <br /> <br /> <br />~ <br />r:: <br />o <br />Ql <br />'" <br />:::> <br />2.l <br />:E <br />o <br /> <br />$-&~--$-,~~.f;4V*,"~"J..,~ <br />..... ~JlI'\FiDi=! L I OLESEN <br />::;~~o",::;.:~ NO~ ARY ~~J~L1C . MINNESOT A <br />~~~~'* ANOKA COUNTY <br />..~r My CommisSion Expires Sept 9. 1991 <br /> <br />Committee or corporate office held <br /> <br />Ql <br />E <br />co <br />z <br /> <br />Subscribed and sworn to before me this~ 'l""t:L <br /> <br />Address r!J.13'1 )JO, S-r: At,I3A/t/S <br />POSI;;YJlll.;. )1;1J. S 5))-3 <br /> <br />, <br /> <br />dayof C9~;/j~J)o 19 ~1 <br />~ ~ ~ .Notary Public <br /> <br />... <br />o <br />u. <br /> <br />SC 00069-03 <br /> <br />.i. A <br />