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PastActual 3 <br />Number of Hours <br />Calculated Value of Projected Volunteer Time <br />$ 23.56 <br />Total Revenues <br />PastActual 3 <br />$ 0.00 <br />Expenses <br />Expense ltem Past Actual 3 <br />$ 0.00 <br />$ 0.00Expense Totals <br />Profit & Loss <br />Past Actual 3 <br />$ 0-00 <br />Past Actual 2 <br />Past Actual 2 <br />$ 0.00 <br />Past Actual 2 <br />$ 0.00 <br />$ 0.00 <br />PastActual 2 <br />$ 0.00 <br />PastActual 1 <br />PastActual 1 <br />$ '1485'1 .00 <br />Past Actual 1 <br />$ 14061.00 <br />$ 14061 .00 <br />Past Actual 1 <br />$ 790.00 <br />Projected <br />Projected <br />$ 51398.56 <br />Projected <br />$ 41 554.00 <br />$ 41554.00 <br />Projected <br />$ 9844.56 <br />Application Certification o <br />The applicant hereby certifies and affirms: <br />1. That it does noi now, nor will it during the performance of any contract arising from this application, unlawfully discriminate against <br />any employee, applicant for employment, cl,eni, customer, or other person who might benefit from said contract, by reason of age, <br />race, color. ethnicity, sex, religion. miliiary status, sexual orientation, creed, place of birih, or disability; <br />2. Thai 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 lnstructions on pages 1 and2 and understands and will comply with all provisions <br />thereof. <br />Certified by: * <br />offfiefu <br />Name* <br />James M Jones <br />Applicant's Title* <br />Owner