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Account Name <br />Souvenirs <br />Security <br />Insurance <br />Expense Totals <br />Profit & Loss <br />Past Actual 3 <br />$ 1438.00 <br />$ 175.00 <br />$ 133.00 <br />Past Actual 3 <br />$ 21176.00 <br />Past Actual 3 <br />$ 609.00 <br />Application Certification <br />Past Actual 2 <br />$ 1704.00 <br />$ 350.00 <br />$ 180.00 <br />Past Actual 2 <br />$ 28421.00 <br />Past Actual 2 <br />$ 11189.00 <br />Past Actual 1 <br />$ 975.00 <br />$ 350.00 <br />$ 180.00 <br />Past Actual 1 <br />$ 25171.00 <br />Past Actual 1 <br />$ 3909.00 <br />Projected <br />$ 2000.00 <br />$ 500.00 <br />$ 180.00 <br />Projected <br />$ 41167.00 <br />Projected <br />$ 26009.20 <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 lav,,s 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 * Becky J Sherley <br />Applicant's Title * Curator