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CITY OF ROSEVILLE <br />CAMPAIGN CONTRIBUTION REPORT <br />A candidate for office must fi le with the City Clerk. <br />Within the previous year n individual, committee or organization has made <br />one or more contributions that in. the aggregate are greater than $50; o <br />'within the previous year the. following individual(s), committee(s) or <br />organization(s) has (have) made one or more contributions that in the ggre g ate is <br />(are) greater than $50. <br />Date of <br />Amount <br />Marne of in dividua l, <br />A ddress <br />Em pl o y er or occu <br />onuibuti n <br />commime or org anization <br />if se emp <br />rn r4 5 P13 <br />a <br />'7"v L <br />R�.$ V Q 0j 1 13 <br />r d <br />ff <br />s v R ry s <br />fi x- c <br />a.I <br />cL f r■ yi <br />S <br />7 <br />1 K k 1/ <br />i y r /y <br />i/ <br />k Ty 1r 1 +J r L ■A� <br />k i+'r �rt i 4 _��s+ �F Y <br />4 f '�4< i� <br />Use additional sheets, if needed. <br />Name of Candidate <br />Name o Person flip report <br />Address o P erson fling report <br />Signat <br />Period of time covered b y this report; From t d t I <br />All in formation in this report is public information. <br />(over) <br />