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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 />postage 1670.00$2000.00$123.00$1176.00$ <br />Pro devo 804.00$1250.00$1246.00$2710.00$ <br />Pro fees 15431.00$13085.00$16110.00$18734.00$ <br />Special projects 6203.00$43500.00$29757.00$31979.00$ <br />maintenance 30284.00$9150.00$26614.00$12032.00$ <br />grants 50125.00$33620.00$38976.00$26917.00$ <br />retail 6501.00$4500.00$2623.00$5891.00$ <br />supplies 13364.00$7500.00$9643.00$9211.00$ <br />taxes 3060.00$3700.00$3003.00$3084.00$ <br />phone/internet 5343.00$5250.00$6579.00$6066.00$ <br />utilities 17580.00$17000.00$17248.00$17599.00$ <br />web 435.00$500.00$390.00$500.00$ <br />725404.00$721488.00$662654.00$709444.00$ <br />1044140.00$-12847.00$-19521.00$13260.80$ <br />Application Certification <br />Buddy Todd <br />Director