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<br />.c i/ <br />(\f'~\.. <br /> <br />CAMPAIGN FINANCIAL REPORT <br />CERTIFICATION OF FILING <br /> <br />Each county, municipal or school district level candidate or treasurer of a committee <br />formed to promote or defeat a t;;>allot question shall certify to the filing officer that all <br />reports required by Minnesota Statutes 211 A.02 have been submitted to the filing <br />officer or that the candidate or committee has not received contributions or made <br />disbursements exceeding $750 in the calendar year. The certification shall be <br />submitted to the filing officer no later than seven days after the general or special <br />election. (Minnesota Statutes 211A.05, subdivision 1) <br /> <br />Name of candidate or committee <br /> <br />.:~.~ j~ iJ :J e <br /> <br />Cu~hWH~J <br /> <br />Office sought by candidate <br />(if applicable) <br /> <br />~ . <br />\ ^) 0,' <br />- <br /> <br />_'3.~ 1'1 T <br /> <br />- KCSJ..IJ, \\e <br /> <br />or <br /> <br />Identification of ballot question <br /> <br />Check appropriate box below: <br /> <br />~ I certify that all campaign financial reports required by Minnesota Statutes <br />.. . 211A.02 have been submitted to the filing officer. <br /> <br />..., I certify that campaign contributions or disbursements did not exceed $750 in <br />L-J the calendar year. <br /> <br /> <br />K ~ol <br /> <br />te or committee <br /> <br /> <br />'11f?!?3 <br />(Date) <br /> <br />8C-00211..()1 8-89 <br />