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ent001485-020

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ent001485-020
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    University of Nevada, Las Vegas. Libraries

    17. 3. State approximately the largest gross receipts your organization has realized from the operation of the mentioned facilities at any one place in one year. $______________________ Location 4. List below the names and addresses of your landlords for the operations listed in Item 2, above. Operation Landlord Address 5. Have any agreements for the construction and installation, maintenance and service of advertising displays held by your organization ever been canceled: Yes ( ) No ( ) 6. Bank References: Bank Address 7. Applicant is prepared to install advertising displays in accordance with construction plans and specifications at a cost of approximately $_________________________________. 8. The latest annual fiscal statement certified by an independent Certified Public Accountant must be furnished. Please complete the following balance sheet, which need not be audited. Date shall not be more than six (6) months prior to the date of this questionaire. BALANCE SHEET Date: As of _________________________________________________________, 19 \ ASSETS $ 1. Cash