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$ 150000.00 <br />ln-Kind Contributions <br />Verification of ln-kind Gontributions <br />be provjded. <br />KCHS Annual Operating $ 0.00 <br />Budget <br />Contributions of Volunteer Time <br />PastActual 3 <br />Number of Hours <br />Galculated Value of Projected Volunteer Time <br />$ 0.00 <br />Total Revenues <br />PastActual 3 <br />$ 12596.51 <br />Expenses <br />Expense ltem <br />Advertising Expenses <br />Museumffourism Facility <br />Expense <br />Expense Totals <br />Profit & Loss <br />PastActual 3 <br />$ 6250.00 <br />$ 6346.51 <br />$ 12596.51 <br />PastActual 3 <br />$ 0.00 <br />$ 150000.00 <br />Past Actual 2 <br />455 <br />Past Actual 2 <br />$ 170000.00 <br />Past Actual 2 <br />$ 20000.00 <br />$ 150000.00 <br />$ 170000.00 <br />Past Actual 2 <br />$ 0.00 <br />$ 150000.00 <br />PastActual 1 <br />600 <br />Past Actual 1 <br />$ 170000.00 <br />Past Actual 1 <br />$ 20000.00 <br />$ 150000.00 <br />$ 170000.00 <br />PastActual 1 <br />$ 0.00 <br />Projected <br />0 <br />Projected <br />$ 172200.0A <br />Projected <br />$ 22200.A0 <br />$ 1 50000.00 <br />$ 172200.00 <br />Projected <br />$ 0.00 <br />Application Certification o <br />The applicant hereby certifies and affirms: <br />1. That it does nol now, nor will it during the performance of any coniract arising from this application, unlawfully discriminate against <br />any employee, applicant for employment, client, customer, or other person who might benefit from said coniract, by reason of age, <br />race, color, ethnicity, sex, religion, military slalus, 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 lnstructions on pages 1 and2 and understands and will complywith all provisions <br />thereof. <br />Certified by: * <br />,fiadrbfu <br />Name* <br />Sadie Thayer