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Account Name Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Washington State $0.00 $0.00 $0.00 $2880.00 <br />DOT Road Sign <br />Postage $0.00 $0.00 $0.00 $200.00 <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Expense Totals $0.00 $0.00 $0.00 $30032.00 <br />Profit &Loss <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />$0.00 $0.00 $0.00 $-32.00 <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 />Cedified by: <br />Name *Marie Smith <br />Applicant's Title*Capital Campaign Chair