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9129122. 10:51 AM <br />Expenses <br />Expense Totals <br />Profit & Loss <br />Certified by <br />Name* <br />Past Actual 3 <br />$ 12700.00 <br />Past Actual 3 <br />$ 12700.00 <br />Past Actual 3 <br />$ 2466 00 <br />Sara Giuffrida <br />Past Actual 2 <br />$ 14850.00 <br />Past Actual 2 <br />$ 14850.00 <br />Past Actual2 <br />$ 3627.00 <br />LTAC Clerk Review <br />Past Actual 1 <br />$ 18900.00 <br />Past Actual 1 <br />$ 18900.00 <br />Past Actual 1 <br />$ 3427.00 <br />Projected <br />$ 18600.00 <br />Projected <br />$ 18600.00 <br />Projected <br />$ 8174.60 <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 <br />arising from this application, unlawfully discriminate against any employee, applicant for employment, client, customer, <br />or other person who might benefit from said contract, by reason of age, race, color, ethnicity, sex, religion, military <br />status, sexual orientation, creed, place of birth, or disability; 2. fhat it will abide by all relevant local, state and federal <br />laws and regulations and, 3. That it has read the information contained in the lnstructions on pages 1 and 2 and <br />understands and will comply with all provisions thereof. <br />Applicant's Title* Owner, Marketing <br />lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77445185642?hideHeader=true 10t10