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CITY OF ROSEVILLE <br />CAMPAIGN CONTRIBUTION REPORT <br />A candidate for office must file with the City Clerk. <br />Within the previous year no individual, committee or organization has made <br />one or more contributions that in the aggregate are greater than $50; or <br />L o� Within the previous year the following individual(s), committee(s) or <br />organization(s) has (have) made one or more contributions that in the aggregate is <br />(are) greater than $50. <br />Date of <br />contribution <br />Amount <br />Name of individual, <br />committee or organization <br />Address <br />Employer or occupation <br />if self em to ed <br />a 61X. Rvb,ns <br />I ass H y <br />�Ij31 oS <br />lob <br />7;rr, R, n <br />13� Z r�' y c• <br />R" C-Ptm <br />0 1.4 7/,D <br />daWh 'e V <br />j sIos <br />�a rah Im ►tom <br />s3 f n, <br />f J s <br />q/ �6/ 0 <br />IPb <br />Chak-14 �I.II'G�<. <br />•233' <br />�Dfa/ 9p <br />3 <br />ni <br />3p78 f <br />LWn �'n <br />(Use additional sheets, if needed.) <br />Name of Candidate 1 of Person filing reportW �(t-- <br />Address of Person filing report AL2o Eq1yi�ke 7j Re- 11 L <br />pase. Y't k-L. m n TO5.11 �z <br />Signature <br />Period of time covered by this report: From 7 1 )5/ oe to pg. <br />All information in this report is public information. <br />(Over) <br />