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Account Name Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />entertainment-girls $ 0.00 $ 0.00 $ 1000.00 $ 2000.00 <br />night out <br />bus/800#-girls night $ 0.00 $ 0.00 $ 1000.00 $ 2000.00 <br />out <br />other-girls night out $ 54.00 $ 182.00 $ 189.00 $ 200.00 <br />Administration-girls $ 3000.00 $ 3000.00 $ 3000.00 $ 3000.00 <br />night out <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Expense Totals $ 4956.00 $ 5965.00 $ 11864.00 $ 18700.00 <br />Profit & Loss <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />$ 0 .00 $ 0.00 $ 0 .00 $ 4450 .00 <br />Application Certification ~ <br />The applicant here certifies and affirms : 1. That it does not now, nor will it during the performance of any contract arising <br />from this application, unlawfully discriminate against any employee , applicant for employment, client, customer, or other <br />person who might benefit from said contract, by reason of age, race, color, ethnicity, sex, religion, military status, sexual <br />orientation, creed , place of birth, or disability; 2. That it will abide by all relevant local, state and federal laws and <br />regulations and ; 3 . That it has read the information contained in the Instructions on pages 1 and 2 and understands and <br />will comply 'Nith all provisions thereof. <br />Certified by: * <br />Name * Molly Jones <br />Applicant's Title * Assistant Director, EDA