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Past Actual 3 <br />$ -2176.00 <br />Past Actual 2 <br />$ -693.00 <br />Past Actual 'l <br />$ '1095.01 <br />Projected <br />$ 152524.52 <br />Application Certification <br />The applicant here certifies and affirms: 1. That it does not noq 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, serual <br />orientation, creed, place of bir1h, or disability; 2. That lt will abide by all relevant local, state and federal larnis and <br />regulations and; 3. That ii has read the information contained in the lnstructions on pages I and2 and understands and <br />will comply with all provisions thereof. <br />Certifled by: <br />8*u4rry"76,p <br />Beveriy fuiiller <br />Secretary, Cle Elum Roundup Association <br />Name* <br />Applicant's Title*