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06/28/2008 19:34 651 631 3316 DEAN JENSEN PAG9 09 <br />CITY OF ROSEVILLE <br />CAMPAIGN CONTRIBUTION .REPORT <br />A candidate for office must file Frith 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 />X Within the previous year the following individuai(s), committee (s) or <br />org ization(s) has (have) made one or more contributions that in the aggregate is <br />(are) greater tha $50. <br />Date of Amount Name of individual, Address Employer or occupatian <br />contribution committee or or anization if self tm to td <br />(Use additional sheets, if needed.) <br />Name of Candidate N.Te.# 0h 11 0 <br />Name of Person filing report 6 <br />Address of Person filing report '7 42 _ELdci <br />AM4nl 5 67 L -1 <br />Signature <br />P en' od of time covered by this report: From to 40 4r. <br />All information in this report is public information. <br />(Over) <br />