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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 />Accounting 495.00$600.00$675.00$750.00$ <br />Postage 520.00$625.00$725.00$850.00$ <br />Storage 1260.00$2940.00$2205.00$3000.00$ <br />Souvenirs/Merch 2500.00$1800.00$1900.00$3500.00$ <br />Security 800.00$800.00$775.00$975.00$ <br />Insurance 1380.00$1425.00$950.00$1600.00$ <br />Taxes/Fees 992.00$875.00$1385.00$1500.00$ <br />Repairs 3917.00$2800.00$3500.00$6000.00$ <br />Services 375.00$295.00$189.00$600.00$ <br />Office 2000.00$2500.00$4800.00$7500.00$ <br />Staffing 700.00$860.00$500.00$1700.00$ <br />43570.00$48125.00$52274.00$79955.00$ <br />2089.00$2025.00$-14263.50$12061.62$ <br />Application Certification <br />Becky Sherley <br />Curator