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Expense Totals <br />Profit & Loss <br />Applicant's Title* <br />Past Actual 3 <br />$ 95323.74 <br />Past Actual 3 <br />$ 10021.43 <br />Courtney Cunniff <br />Treasurer, CERA <br />Past Actual 2 <br />$ 122069.23 <br />Past Actual 2 <br />$ -8222.52 <br />Pa$tActual 1 <br />$ 164423.23 <br />Past Actual 'l <br />$ 3338.72 <br />Projected <br />$ 163275.00 <br />Projected <br />$ 96292.50 <br />Application Certifi cation <br />The applicant here cerlifies and affirms: 1. That it does not now, nor will it during the performance of any contract arising <br />from this application, unlawfully discriminaie against any employee, applicanl for employment, client, customer, or other <br />person who might 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 it 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:Sign <br />Name *