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Account Name <br />Speaker Fees <br />Entertainment <br />Program Printing <br />Supplies <br />Ticket Selling Fees <br />Catering and Venue <br />Rental <br />Hospitality <br />Mailing Costs <br />Design <br />Past Actual 3 <br />$ 1000.00 <br />$ 0.00 <br />$'r500.00 <br />$ 675.00 <br />$ 300.00 <br />$ 0.00 <br />$ 5oo.oo <br />$ o.oo <br />$ 0.00 <br />Past Actual 2 <br />$ 1000.00 <br />$ o.oo <br />$ 1847.00 <br />$ 430.00 <br />$ 300.00 <br />$ 4000.00 <br />$ 500.00 <br />$ 0.00 <br />$ o.oo <br />Past Actual 2 <br />$ 16977.00 <br />Past Actual 2 <br />$ -267.00 <br />PastActual 1 <br />$ 0.00 <br />$ o.oo <br />$ o.oo <br />$ o.oo <br />$ o.oo <br />$ o.oo <br />Projected <br />$ 1500.00 <br />$ 500.00 <br />$ 2500.00 <br />$ 750.00 <br />$ 300.00 <br />$ 5000.00 <br />$ 500.00 <br />$ 200.00 <br />$ 1500.00 <br />Projected <br />$ 30350.00 <br />Projected <br />$ 33678.32 <br />Expense Totals <br />Profit & Loss <br />Past Actual 3 <br />$ 20975.00 <br />Past Actual 3 <br />$ -6725.00 <br />$ o.oo <br />$ 0.00 <br />$ o.oo <br />Past Actual 'l <br />$ 0.00 <br />Past Actual 1 <br />$ o.oo <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, eihnicity, sex, religion, military status, sexual <br />orientation, creed, place of birth, or disability; 2. Thal it will abide by all relevant local, siate and federal larnrs and <br />regulations and; 3. That it has read the information contained in the lnsiructions on pages 1 and2 and understands and <br />will comply with all provisions thereof. <br />Certified by: Sign <br />Name*Jill Scheffer <br />Applicant's Title*President