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Account Name <br />Utilities <br />Advertising <br />Exhibits <br />CWU Graduate <br />Assistantship <br />Volunteer Hours <br />Expense Totals <br />Profit & Loss <br />Past Actual 3 <br />$ 2609.98 <br />$ 1153.37 <br />$ 0 .00 <br />$ 29812.38 <br />$ 0.00 <br />Past Actual 3 <br />$ 67939.77 <br />Past Actual 3 <br />$ 6934 .54 <br />Application Certification <br />Past Actual 2 <br />$ 2658.90 <br />$ 734.33 <br />$ 772.99 <br />$ 29980.13 <br />$ 0.00 <br />Past Actual 2 <br />$ 73942.20 <br />Past Actual 2 <br />$ 2001.83 <br />Past Actual 1 <br />$ 2621.65 <br />$ 912.37 <br />$ 1945.02 <br />$ 30157.25 <br />$ 0.00 <br />Past Actual 1 <br />$ 57645.75 <br />Past Actual 1 <br />$ 442.11 <br />Projected <br />$ 2330.00 <br />$ 6600.00 <br />$ 1500.00 <br />$ 31383.67 <br />$ 41819.00 <br />Projected <br />$ 112457.67 <br />Projected <br />$ 1245.00 <br />A <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 />Name * Elizabeth Seelye <br />Applicant's Title * Vice President, Thorp Mill Board