LT-2019-017 Hospice Friends - Laserfiche WebLink

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Past Actual 3 Past Actual 2 Past Actual 1 Projected LTAC Grant $ 0 .00 $ 0 .00 $ 475 .00 $1,896.00 Funding All Other Revenues Account Name Past Actual 3 Past Actual 2 Past Actual 1 Projected Cruisin' For Hospice $ 6138.45 $ 10301 .75 $ 9995.58 $ 15000.00 In-Kind Contributions (except volunteerism) Account Name Past Actual 3 Past Actual 2 Past Actual 1 Projected 43 donors -Cruisin' $ 0.00 $ 0.00 $ 3591.00 $ 4000.00 for Hospice Contributions of Volunteer Time Past Actual 3 Past Actual 2 Past Actual 1 Projected Number of Hours 125 164 180 Evidence of Volunteer Rease upload a single file which offers evidence in support of the projected volunteer hours , Contributions* Calculated Value of Projected Volunteer Time Revenue Totals Expenses Account Name Cruisin' For Hospice Expense Totals Profit & Loss Volunteer hours 2017-2018.pdf $ 4 ,24 0 .80 Past Actual 3 Past Actual 2 $ 6138 .45 $ 10301 .75 Past Actual 3 Past Actual 2 $ 3589 .73 $ 7541.13 Past Actual 3 Past Actual 2 $ 3589 .73 $ 7541 .13 Past Actual 3 Past Actual 2 $ 2548.72 $ 2760.62 Application Certification Past Actual 1 Projected $ 14061 .58 $ 25136 .80 Past Actual 1 Projected $ 10915.00 $ 18967.00 Past Actual 1 Projected $ 10915 .00 $ 18967.00 Past Actual 1 Projected $ 3146.58 $ 6169.80 -------- 85 .17KB ,,... The applicant here certifies and affirms : 1. That it does not now, nor \Nill it during the performance of any contract arising from t his application , unlawfully discriminate aga inst any employee, appl icant for employment , cl ient, customer , or other person who might benefit from said contract, by reason of age , race , color , ethnicity , sex, religion , military status, sexual orientation, creed, place of birth , or disability; 2. That it \Nill abide by all relevant local, state and federal laws and regulations and; 3 . That it has read the information contained in the Instructions on pages 1 and 2 and understands and