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Dec 02 08 02:20p Freier 651- 484 -9751 0.1 <br />CAM FINANCL4I REPORT CE <br />R'nFICAxION OF FELING <br />Each county, municipal or school district candidate <br />to Promote or defe r�dl�iate or treasurer of a committee formed <br />at a ball question shall certify to the filing o <br />required by rr�ts�ta S't�xtutQS X114.. h that all reports <br />have been submitted to the fil <br />the candidate officer or that committee has not received contributions or read <br />exceeding $750 in the cal calendar ear. a di sbuTSements <br />officer n T'f!e ce rtificati on s h a ll be submitted to the fili <br />of later than seven clays after the general ors special ng <br />211A.05, subd v n 1 pe sI elect�an. r esota Statutes <br />Name of candidate or committee Vo <br />Office sOught 6y candidate �n <br />(if applicable) <br />Or <br />Identification of ballot question <br />Check the appropriate box below: <br />I do swear (or affirm) that all campaign financia <br />M inne so ta i,� re ports req by <br />S 21 l A.02 have been submitted to the filing officer. <br />I do swear (or affirm} that campaign contributions or disbursements did not <br />exceed $750 in the calendar year_ <br />S tare of candidate or commi tt ee ixmas ure (Date) <br />Off'ce of the hiinne:sota Secretary of State <br />rev. May 2008 <br />