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Calculated Value of <br />Projected Volunteer <br />Time <br />Revenue Totals <br />Expenses <br />Account Name <br />Advertising <br />Entertainment <br />Miscellaneous <br />Venue <br />Expense Totals <br />Profit & Loss <br />$ 353.40 <br />Past Actual 3 <br />$ 0 .00 <br />Past Actual 3 <br />$ 0 .00 <br />$ 0 .00 <br />$ 0.00 <br />$ 0 .00 <br />Past Actual 3 <br />$ 0 .00 <br />Past Actual 3 <br />$ 0 .00 <br />Application Certification <br />Past Actual 2 <br />$ 0.00 <br />Past Actual 2 <br />$ 0 .00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />Past Actual 2 <br />$ 0.00 <br />Past Actual 2 <br />$ 0.00 <br />Past Actual 1 <br />$ 0 .00 <br />Past Actual 1 <br />$ 0.00 <br />$ 0.00 <br />$ 0 .00 <br />$ 0.00 <br />Past Actual 1 <br />$ 0.00 <br />Past Actual 1 <br />$ 0.00 <br />Projected <br />$ 6953.40 <br />Projected <br />$ 1000 .00 <br />$ 2000.00 <br />$ 500.00 <br />$ 400.00 <br />Projected <br />$ 3900.00 <br />Projected <br />$ 3053.40 <br />The applicant here certifies and affirms : 1. That it does not now, nor vvill 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, et hnicity, sex, relig ion , military status , sexual <br />orientation, creed , place of b irth, or disability; 2. That it vvill 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 />vvill comply vvith all provisions thereof. <br />Certified by:* <br />Name * Molly Jones <br />Applicant's Title * Director