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Account Name <br />I <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />Fac & Equipment <br />$ 205000.00 <br />$ 191400.00 <br />$ 240000.00 <br />$ 260000.00 <br />All other <br />$ 95000.00 <br />$ 131880.00 <br />$ 135000.00 <br />$ 142000.00 <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />Expense Totals <br />$ 464000.00 <br />$ 526720.00 <br />$ 565000.00 <br />$ 612000.00 <br />Profit & Loss <br />Past Actual 3 <br />Past Actual 2 <br />Past Actual 1 <br />Projected <br />$ -25000.00 <br />$ -24560.00 <br />$ -26000.00 <br />$ -47000.00 <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 with all provisions thereof. <br />Certified by: * <br />a6 l0 -e3 6fi td,--" <br />Name* Leslie Thurston <br />Applicant's Title* Executive Director <br />