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OMB APPROVAL NO. PAGE OF <br /> 0348-0004 ~ 2 PAGES <br />REQUEST FORADVANCE " <br /> a.~ <br />oneorbothboxes 2.BASISOFREQUEST <br />OR REIMBURSEMENT ~ ~ ADVANCE ~ REIMBURSE- <br /> TYPE OF MENT 0 CASH <br /> PAYMENT b. '~C" the applicable box <br />(See instructions on back) ReQUesTEO 0 FINAL ^ PARTIAL ^ ACCRUAL <br />3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO 4. FEDERAL GRANT OR OTHER 5. PARTIAL PAYMENT REQUEST <br />WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED NUMBER FOR THIS REQUEST <br /> BY FEDERAL AGENCY <br />U.S. Bureau of Land Management HEF051 M09 ~ <br />6. EMPLOYER IDENTIFICATION 7. RECIPIENTS ACCOUNT NUMBER 8. PERIOD COVERED BY THIS REQUEST <br />NUMBER OR IDENTIFYING NUMBER FROM (month, day, year) TO (month, day, year) <br />93-6002160 1536-0031-8601 January 1, 2007 December31, 2007 <br />9. RECIPIENTORGANIZATION <br />Name: City of Eugene <br />Number <br />and streer. 777 Pearl Street <br />city, State Eu ene, OR 97401 <br />and Z!P Code: g <br />10. PAYEE (WhBr2 Ch2CK 15 t0 p2 S2nt IT tlI1TB(eOt [h8D ItG'In 9J <br />Name: <br />Number <br />and Street: <br />City, State <br />and Z!P Code: <br />11. COMPUTATION OF AMOUNT OF REIM BURSEMENTS/ADVANCES REQUESTED <br /> (aI ~~) ~~~ <br />PROGRAMSlFUNCTIONS/ACTIVITIES ~ <br /> Engineering Construction TOTAL <br />a. Total program (Asofdate) <br />outla s to date ~ 2~000.00 ~ $ ooo.oo <br />> ~ ~ ,~ O 000.00 <br />> <br />b. Less: Cumulative program income ~.~~ ~.~~ ~.~~ ~.~~ <br />c. Net program outlays (Line a minas <br />line b) 2'000.00 $,000.0o O.oo ,~ O,ooo.oo <br />d. Estimated net cash outlays for advance 0 <br />00 <br />period . <br />e. Total (Sum oflines c& d) 2,~~~.~~ $,000.0~ ~.~~ ~ ~,~~~.~~ <br />f. Non-Federal share of amount on line e 0.0~ 0.~~ ~.~~ ~.0~ <br />g. Federal share of amount on line e 2,000.~~ $,~~~.~~ ~ 0,~~~.~~ <br />h. Federal payments previously requested ~.~~ 0.0~ ~.~~ <br />i. Federal share now requested (Line g <br />minus line h) 2'000.00 $,ooo.oo O.oo ,~ O,ooO.oo <br />1• Advances required by <br />~ <br />~~ <br />month, when requested 1st month . <br /> <br />by Federal grantor <br />agency for use in making <br />2nd month <br />~.~~ <br /> <br />prescheduletl advances 3rd month ~.~~ <br />12. ALTERNATE COMPUTATION FOR ADVANCES ONLY <br />a. Estimated Federal cash outlays that will be made durin <br />Less: Estimated balance of Federal cash on hand as of be <br />c. Amount requested (Une a minus line b) <br />AUTHORIZED FOR LOCAL REPRODUCTION <br />$ ~.~~ <br />$ ~.~~ <br />covered by the advance <br />inq of advance period <br />(Continued on Reverse) <br />STANDARD FORM 270 (Rev. 7-9~ <br />Prescribed by OMB Circulars A-102 and A-110 <br />