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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 />Uncategorized Expenses 0.00$0.00$9424.53$0.00$ <br />Utilities 228.27$870.24$492.66$600.00$ <br />event/exhibit supplies 1199.38$2098.83$680.30$1200.00$ <br />Garbage Disposal 13.95$0.00$0.00$0.00$ <br />Mileage Reimbursement 87.75$998.40$0.00$0.00$ <br />remodel/improvements 0.00$4096.90$40.94$1200.00$ <br />retail furniture 494.78$3883.69$1146.58$800.00$ <br />25993.17$59417.83$79879.05$82796.27$ <br />-9559.29$10781.20$-311.95$5439.72$ <br />Application Certification <br />Justin Beckman <br />Co-Founder