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Operations (permits, $ 0.00 <br />insurance, license) <br />Past Actual 3 <br />Expense Totals $ 0.00 <br />Profit & Loss <br />Past Actual 3 <br />$ 0.00 <br />$ 0.00 <br />Past Actual 2 <br />$ 0.00 <br />Past Actual 2 <br />$ 0.00 <br />$ 0.00 <br />Past Actual 1 <br />$ 0.00 <br />Past Actual 1 <br />$ 0.00 <br />$ 500.00 <br />Projected <br />$ 34050.00 <br />Projected <br />$ 6922.00 <br />Application Certification <br />The applicant here certifies and affirms: 1. That it does not now, nor will it during the performance of any coniract arising <br />from this application, unlawfully discriminaie against any employee. applicant for employment, client, customer, or other <br />person who mighi 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 tt has read the information contained in the lnstructions on pages 1 and 2 and understands and <br />will comply with all provisions thereof. <br />Certified by <br />MlJ,e gaperf <br />Name* <br />Applicant's Title* <br />Debbie Bogart <br />Executive Director