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CITY OF ROSEVILLE <br />CAMPAIGN FINANCE REPORT FORM <br />Pe-+�.r S�o rnt� er` .�' R4s eJ� 1 f�e. G, �ow�ta� Ca�;,, fft� <br />Committee Name: h � <br />Office sought or held by candidate <br />or purpose of political committee: �d5e`�'��G Cr�'4 �,pa�Lt � _ <br />Type of Organization: �_ Candidate Committee Political (Action) Committee <br />Type of report: <br />Initial report Post-general <br />Pre-primary Year-end (January) report <br />Pre-general _�_ Final 1'epOrt (closes committee account— <br />see M S. Ch. 211A.03 for requirements) <br />Period of time covered by report: From ��3t / 2 to { 0/ Z'y %�Z <br />SUMMARY STATEMENT TO DATE ;���� d ' <br />Prt �Pr�M� <br />Total For This Total From � Total To <br />Report Previous Repor�S� Date <br />MAJOR CONTRIBUTORS <br />ALL OTHER CONTRIBUTIONS RECEIVED <br />EXPENDITURES <br />0 <br />� �S <br />�H�t(�.a/�l <br />+� Z osa =� Z�as'a <br />+ � i?.5 = � Z'�'o <br />� l � 803.56 =� '�� 2S� <br />SUMMARY OF EXPENDITURES AND CONTRIBUTIONS FOR THIS PERIOD <br />Itemize all contributions made during the previous 365 days by an individual or committee that are greater than $50 in the <br />aggregate on a separate sheet. Itemization must provide amount, date, name, address, employer or occupation if self- <br />employed for all contributors.. <br />An itemized list of all expenditures must also be provided. This must include date, purpose, and amount for each <br />expenditure. <br />Contributions less than/equal to $50 Z'�'�?s <br />Contributions between $51 and $300 � Q Check here if within the previous year <br />no individual, committee or organization has made one or more contributions that in the aggregate are greater than $50. <br />Expenditures <br />Current Balance � 0 <br />. <br />TL F&+�nK ,� y�l S Cov�+�M�j R� !�3 4�, l�3e �11/��µ�Sslt� <br />List the name and address opall deposit.o�ri�F�� 1�0 ��� g♦ M� �� �,a� •Mwj SS�� 7 <br />hol is committee's de osits �''� '�'j0`L" <br />%�� �o�Zy � <br />I ,�,. �D <br />Committee treasurer Date - <br />Email (note if you want it redacted before form becomes public): <br />