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CITY OF ROSEVILLE <br />CAMPAIGN FINANCE REPORT FORM <br />Committee Name: _ �1 1 Z 2�.{� S !' 01� �C��I�.���e Y' ___ <br />Office sought or held by candidate <br />or purpose of political committee:__,_ oS 8Vi ���' �� t�/ CDUV1�� 1—___—_ � <br />r--- <br />Type af Organization <br />Type of report: <br />L'`�Candidate Cammittee <br />____.__ Initial report <br />__ _ Pre-primary <br />_^_��" Pre-general <br />Political (Action) Committee <br />Post-�general <br />Year-end (lanuaryy report <br />� Final report (closes committee accaunt-� <br />see M.S, Ch. 211A.03 for requirements) <br />PeriUd af time covered by report: From ___ �i"` I2-�.-- t° --- /D � �. _�__.. <br />SUMMARY STATEMENT TO QATE <br />Tota) For T�his Tatal From Taial To <br />Report Previous Report Qate <br />MAIORCUNTRIBUTORS SCJC) + �,ADp = ,�Z.�� <br />�iLt. O7��iER C�N��RIBU7�lC�NS RECEIVED <br />EXPENDfTURES <br />�.��" + �'S = 3 Zo <br />i * ,� . � i � <br />SUMMARY OF EXP�NDi7URES At�D CC;1+lTR16UT1UNS Ft?it THlS PERIOD <br />itemize a!I contributions made during the previous �65 days by an individual or cammittee that are greater than $SO in the <br />aggregate on a separate sheet. Itemization must pravide arnount, date, name, address, emplayer ar Qccupation if self- <br />employed far all contributars, <br />An itemized list of all expenditures must also be provided. This must include date, purpase, and m n- c�,� �; ,�., -�-:.r <br />expenditure i�, E��-', 4�=. j�;l 1�' � <br />� �� _� _ � ; � <br />�1�� (_ ::; ,: � i'iil '�i <br />Cc�ntributions less than/equal to $50 _,����� � � � ��, _ _ , _.J <br />� <br />i.�_.� <br />Contributions between $51 and $300 � �� __^ _, che�k�here �f �c��n��, tt��,� e�,ous'yez <br />no individual, committee or organization has made one or more contributions that in the aggregate are greater than $5d. � � <br />Expenditures <br />Current Balance <br />List the name and address of all depositories <br />�—_ _ <br />_L���_—. <br />holding this committee's deposits �ti Pe �Y q!'1 iN JV. �!', 1_ <br />__��� _ a ��tli 11.e IY��tt 55J13 <br />Committee treasurer <br />. Go. 1Ra � �� Z. <br />o � 3" I a--� - <br />Date <br />7 ��-" <br />Email (note if you want it redacted before form becomes pub►ic): �CR�P1� 'rJ'Ch�� 7z Y �'p��Y1 ��E., G(T►?� <br />