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Profit & Loss <br />Application Certification <br />The applicant here cerlifies and affirms: 1. That il does not now, nor lVll ii dr-tring the performance of any contract arising <br />from thjs application. unlaMully dis*iminate against any employee. applicant for employment, client, customer, or other <br />person tdto might benefii from said contract, by reason of age, race, color, ethnicity, sex, religion, military status, serual <br />orientation, creed. place of birrh, or disability; 2. That it will abide by all relevant local, state and federal lavrs and <br />regulalions and; 3. That it has read the information contained in the lrrstructions on pages 1 and 2 and understands and <br />will conrply with all piovisions thereof. <br />Past Actual 3 <br />$ 0.00 <br />Jill Scheffer <br />Past Actual 2 <br />$ -1362.00 <br />Past Actual 1 <br />$ 1964.00 <br />Projected <br />$ 75287.56 <br />Certified by: <br />Name * <br />Sign <br />Applicant's Title *President