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Account Name Past Actual 3 Past Actuai 2 Past Actuai 1 Projected <br />Advertising $16.00 $736.00 $998.00 $1000.00 <br />Credit Card/Ticket $49.00 $126.00 $189.00 $200.00 <br />Fees <br />Concessions $204.00 $285.00 $109.00 $200.00 <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Expense Totals $9430.00 $17599.00 $22277.00 $21780.00 <br />Profit &Loss <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />$-1992.00 $261.00 $604.00 $26101.20 <br />Application Certification <br />The applicant here certifies and affirms:1.That it does not now,nor w¡ll 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 *Jessica Solberg Black <br />Applicant's Title*Executive Director,Valley Musical Theatre