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Jan 13 09 02 :18p Freier 651 483 -2758 p,3 <br />CITY OF ROSEVILLE <br />CAMPAIGN CONTRIBUTION REPORT <br />A candidate for office must ��1e wi #h the i <br />ty Clerk. <br />W ithin the previous Year no individual co <br />committee or organizati has n7ade <br />one or mare contributions that iii the aggregate are eat <br />g greater than $50; ar <br />-�,X Witbin the previous ear the fol7a�i committee(s) <br />ng individual(s), ganizati v�, s h or <br />or <br />has (h made one or more contributions arcs that in the aggregate is <br />(axe) greater than $50. <br />N ame of C andidate �oL vn rvx r <br />L&5 <br />Name of Verson filing report e- P-."t <br />Ad <br />Add ress of Person fil report <br />Signature <br />Period of time covered by report: From I 11 (6 to I Z1 1 p$ <br />All inf ormati on i n this report i s public information. <br />(Over) <br />11 ALJLLLtLLk0%A,) <br />