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Expense Totals <br />Profit & Loss <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />The applicant hereby certifies and affirms: <br />1. That it does not now, nor will it during the performance of any contract arising from this application, unlawfully discriminate against <br />any employee, applicant for employment, client, customer, or other person who might benefit from said contract, by reason of age, <br />race, color, ethnicity, sex, religion, military status, sexual orientation, creed, place of birth, or disability; <br />2. That it will abide by all relevant local, state and federal laws and regulations and; <br />3. That it has read the information contained in the Instructions on pages 1 and 2 and understands and will comply with all provisions <br />thereof. <br />Certified by:* <br />Name * <br />Applicant's Title * <br />Equipment Rental 0.00$1200.00$8000.00$11000.00$ <br />Videography 0.00$0.00$5000.00$5000.00$ <br />Photography 0.00$0.00$300.00$750.00$ <br />Talent Fee's 0.00$1500.00$5000.00$7500.00$ <br />Deck Rental 0.00$0.00$3000.00$5000.00$ <br />Light Rental 0.00$0.00$0.00$1500.00$ <br />Prize Money 0.00$13000.00$23200.00$25000.00$ <br />Production Cost 0.00$1500.00$2500.00$5000.00$ <br />Advertising Commercial 0.00$0.00$0.00$1500.00$ <br />Fencing 0.00$0.00$0.00$1000.00$ <br />0.00$24600.00$60175.00$82250.00$ <br />0.00$-1946.00$100.00$6271.00$ <br />Application Certification <br />Jessica Karraker <br />Owner