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OMB APPROVAL NO. PAGE OF <br /> a oseorbo b 1 1 2 PAGES <br /> REQUEST FOR ADVANCE <br /> 1. a. "X° one or both boxes 2. BASIS OF REQUEST <br /> OR REIMBURSEMENT ❑ADVANCE ®REIMBURSEMENT ❑ CASH <br /> TYPE OF <br /> PAYMENT b. "X" the applicable box ® ACCRUAL <br /> REQUESTED <br /> (See instructions on back) ® FINAL ❑ PARTIAL <br /> 3. FEDERAL SPONSORING AGENCY AND ORGANIZATION ELEMENT TO WHICH THIS 4. FEDERAL GRANT OR OTHER IDENTIFYING 5. PARTIAL PAYMENT REQUEST <br /> REPORT IS SUBMITTED NUMBER ASSIGNED BY FEDERAL AGENCY NUMBER FOR THIS REQUEST <br /> U.S. Bureau of Land Management HAF071 M15 2 <br /> 6. EMPLOYER IDENTIFICATION NUMBER 7. RECIPIENT ACCOUNT NUMBER OR 8. PERIOD COVERED BY THIS REQUEST <br /> INDENTIFYING NUMBER FROM (month, day, year) TO (month, day, year) <br /> 93-6002160 1536- 0031 -8601 November 16, 2007 July 1, 2008 <br /> 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sent if different than item 9) <br /> Name Name <br /> City of Eugene <br /> Number Number <br /> and Street 777 Pearl Street and Street <br /> City, State City, State <br /> and ZIP Code Eugene, OR 97401 and ZIP Code <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS /ADVANCES REQUESTED <br /> (a) (b) (c) (d) <br /> Project Assistance <br /> PROGRAMS /FUNCTIONS /ACTIVITIES TOTAL <br /> a. Total program outlays to date (As of date) $49,000.00 $49,000.00 <br /> b. Less: Cumulative program income 0.00 0.00 <br /> c. Net program outlays (Line a minus line b) $49,000.00 0.00 0.00 $49,000.00 <br /> d. Estimated net cash outlays for advance period 0.00 0.00 <br /> e. Total (Sum of lines c & d) $49,000.00 0.00 0.00 $49,000.00 <br /> f. Non - Federal share of amount on line e 0.00 0.00 <br /> g. Federal share of amount on line e . $49,000.00 $49,000.00 <br /> h. Federal payments previously requested $36,604.28 $36,604.28 <br /> i. Federal share now requested (Line g minus line h) $12,395.72 0.00 0.00 $12,395.72 <br /> month 0.00 <br /> j. Advances required by month, <br /> when requested by Federal <br /> 2 month 0.00 <br /> grantor agency for use in making <br /> prescheduled advances <br /> 3 month 0.00 <br /> 12. ALTERNATE COMPUTATION FOR ADVANCES ONLY <br /> a. Estimated Federal cash outlays that will be made during period covered by the advance 0.00 <br /> b. Less: Estimated balance of Federal cash on hand as of beginning of advance period <br /> c. Amount requested (Line a minus line b) 0.00 <br /> AUTHORIZED FOR LOCAL REPRODUCTION (Continued on Reverse) STANDARD FORM 270 (Rev. 7 -97) <br /> Prescribed by OMB Circulars A -102 and A -110 <br />