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CITY OF ROSEVILLE <br />CAIVIPAICBN CONTRIBUTION REPORT <br />ca for offi must file with the City Clerk. <br />Within the previous year o individual, committee or o zatio has made <br />one or more contribu that in the aggregate are greater than $50; or <br />Within the previous year the following individual(s), comm t cc or <br />organization(s) has (have) made one or more contributions that in the'aggregate is <br />(arc) greater than $50. <br />Date of Amount Name of individual, Addr Employer or occupation <br />c ontribution o u.itt r 2aanization if self erg ho d <br />5 i <br />(Use additional sheets, if needed.) <br />Name of Candidate <br />Name of Person filing report <br />Address of Person filing report <br />Si <br />P eriod of time covered b this report; From 7, C-) to Z; 7-.,: <br />All inf ormation in this report is public i nformation <br />(Over) <br />