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CITY OF ROSEVILLE <br />CAMPAIGN CONTRIBUTIONREPORT <br />candidate for offic e must file wiUi the City C 1 eik. <br />Within the p revious year no <br />dividual, mate or or any <br />iou zation has made° <br />ono or more c oin tribu bores that in th a ggregate are gr th an or <br />Within the previous year the following individual( o .'tto or <br />organization(s) h as h ave) m one or more c ontribijfions that in the t is <br />a re) greater than 51). <br />Date o f Arnount <br />contribution <br />Luse aciamonai sjiects, il: neededj <br />Name of andid to 6 1� <br />Name of Person fifing report <br />Address of r n Fi ling repot <br />Signature <br />Pc,z ilodoftinic covered y thi r eport: Fr om. .1 t 1z" I ff <br />Afl information in this report is public i foii ation. <br />(Over) <br />V0 d 9990 IL 19 'ON X d IVIONVNIJ 3SINdIN30 NV 19:01 101 01H-OC- <br />