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9129122. 11:13 AM <br />Website <br />Travel <br />Accounting <br />Postage <br />Storage <br />Staffing <br />Souvenirs <br />Security <br />lnsurance <br />Expense Totals <br />Profit & Loss <br />$ 180.00 <br />$ 1375.00 <br />$ 300.00 <br />$ 215.00 <br />$ 1260.00 <br />$ 0.00 <br />$000 <br />$ 000 <br />$ 0.00 <br />Past Actual 3 <br />$ 6500.00 <br />Past Actual 3 <br />$ -4500.00 <br />$ 200.00 <br />$ 995.00 <br />$ 375.00 <br />$ 247.00 <br />$ 1260.00 <br />$000 <br />$ 0.00 <br />$ 200.00 <br />$ 180.00 <br />Past Actual 2 <br />$ 13227.00 <br />Past Actual 2 <br />$ 10142.00 <br />LTAC Clerk Review <br />$ 225.00 <br />$ 3165.00 <br />$ 375.00 <br />$ 275.00 <br />$ 1035.00 <br />$ 500.00 <br />$ 1590.00 <br />$ 300.00 <br />$ 1380.00 <br />Past Actual 1 <br />$ 2't206.00 <br />Past Actual 1 <br />$ 4503.25 <br />$ 2280.00 <br />$ 5000.00 <br />$ 600.00 <br />$ 400.00 <br />$ 1380 00 <br />$ 1700.00 <br />$ 2500.00 <br />$ 600 00 <br />$ 1400.00 <br />Projected <br />$ 50522.00 <br />Projected <br />$ 12857.52 <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. That 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 />Certified by <br />Name* <br />Sign <br />Becky Sherley <br />Applicant's Title* Curator <br />lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77656/85651?hideHeader=true 14t14