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\RPA Storelmnt Renovation and Si-,nuee (Irmt-Aereenicnt. North Olmsted. Oil <br />Exhibit A: Quarterly Reporting Metrics <br />Current Previous year to -----FPrevlous <br />Reporting Reporting Date year <br />Period Period <br />Sales Revenue <br />Quarterly Payroll <br />Current Employment <br />Average Salary <br />The undersigned certifies that he/she is authorized to complete, sign and submit this <br />quarterly progress report on behalf of the applicant/ owner. Further, the undersigned <br />certifies that the information contained in this progress report has been reviewed by <br />him/her and that all information. including exhibits. areto the best of his/her knowledge, <br />complete and accurate and presents fairly the condition of the applicant and project <br />accurately. Intentionally falsifying information in this document constitutes a criminal <br />offense. The undersigned hereby authorizes the City of North Olmsted to investigate the <br />information contained herein. The undersigned understands that the information <br />submitted to the City of North Olmsted as part of this application is considered a public <br />record <br />Company Name. <br />By: <br />(Print or type name and title) <br />(Signature) (Date) <br />10 - <br />