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<br />\ ~~r/ <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 ballot 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."IR. or committee 1)tl.4it1 -r fIIlascA Ic.a.... <br /> <br />Office sought by candidate R os.ev';lli. C 1ft? (OUriC,.' <br />(if applicable) <br /> <br />or <br /> <br />Identification of ballot question <br /> <br />Check appropriate box below: <br /> <br />I v ( I certify that all campaign financial reports required by Minnesota Statutes <br />211 A.02 have been submitted to the filing officer. <br /> <br />r--l I certify that campaign contributions or disbursements did not exceed $750 in <br />L-.J the calendar year. <br /> <br />~)~ <br /> <br />. .. (Sig ure of candidate or committee treasurer) <br /> <br />/.:2/7/7:3 <br />([jate) <br /> <br />$C-00211-Q1 8-89 <br />