Laserfiche WebLink
9t29122, 12:20 PM <br />Profit & Loss <br />Past Actual 3 <br />$ -28320.44 <br />Past Actual 2 <br />$ 27611.12 <br />LTAC Clerk Review <br />Past Actual 1 <br />$ -9239.41 <br />Projected <br />$ 83828.00 <br />Application Certification <br />The applicant here certifies and affirms: 1. That it does not now, nor will it during the performance of any contract <br />arising from this application, unlawfully discriminate against any employee, applicant for employment, client, customer, <br />orother person who might benefitfrom 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*Stacy Meyer <br />Applicant's Title* Secretary <br />lf-app-16-03.co.kittitas.wa.us/Forms/form/submission/history/77658/85656?hideHeader=true 17t17