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PAGE OF <br /> OMB APPROVAL NO. 1 2 PAGES <br /> 0348-0004 <br /> 2. BASIS OF REQUEST <br /> a one or both boxes <br /> REQUEST FOR ADVANCE ~ ADVANCE is REIMBURSE- ~ CASH <br /> OR REIMBURSEMENT MENT <br /> TYPE OF <br /> PAYMENT b: '7(" the applicable box 0 ACCRUAL <br /> REQUESTED FINAL 0 PARTIAL <br /> ($ee InsflUC(IOnS On back) 5. PARTIAL PAYMENT REQUEST <br /> 4. FEDERAL GRANT OR OTHER NUMBER FOR THIS REQUEST <br /> IDENTFYING NUMBER ASSIGNED <br /> 3. FEDERAL SPONSORING AGENCY AND ORGAN¢ATIONAL ELEMENT TO BY FEDERAL AGENCY 1 <br /> WHICH THIS REPORT IS SUBMITTED <br /> HAF041 M04 <br /> U.S. Bureau Of Land Management PERIOD COVERED BY THIS REQUEST <br /> TO (month, day, year) - <br /> 6. EMPLOYER IDENTIFICATION 7. RECIPIENTS ACCOUNT NUMBER FROM (month day, year February 10, 2006 <br /> OR IDENTIFYING NUMBER ~ujy 15, 2004 <br /> NUMBER <br /> 93-6002160 1536-0031-8601 <br /> 10. PAYEE (Where oheck is to be sent !(difrerent man item 9) <br /> 9. RECIPIENT ORGAN¢ATION <br /> - Name: <br /> Name: City of Eugene <br /> Number <br /> Number and Street: <br /> <br /> ~'il and street: 777 Pearl Street <br /> City, State <br /> li City, State and ZIP Code: <br /> and zIP code: Eugene, OR 97401 <br /> COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> 11. <br /> (a) (b) TOTAL <br /> PROGRAMS/FUNCTIONSIACTIVITIES ? pro ect Management Vegetation Work <br /> Engineering J <br /> 307,275.00 ~ 386,449.00 <br /> (As of date) $ 59,842.00 ~ 19,332.00 ~ p.00 <br /> a. Total program 0.00 <br /> outta s to date 0.00 0.00 <br /> 307,275.00 386,449.00 <br /> b. Less: cumulative ro ram income 59842.00 19,332.00 0.00 <br /> c. Net program outlays (Une a minus <br /> line b) <br /> d. Estimated net cash outlays for advance 307,275.00 386,449.00 <br /> period 59,842.00 19,332.00 <br /> 79,174.00 <br /> e. Total (sum ot?ines c & d) 59,842.00 19,332.00 <br /> 0.00 307,275.00 307,275.00 <br /> f. Non-Federal share of amount on line a 0.00 <br /> 0.00 0.00 <br /> . Federal share of amount on line a 0.00 0.00 <br /> 307,275.00 307,275.00 <br /> h. Federal a ents reviousl r uested 0.00 0.00 <br /> i. Federal share now requested (Line g 0.00 <br /> mirius Cne h) <br /> j. Advances required by lstmonth 0.00 <br /> • month, when requested <br /> by Federal grantor 2nd month O.OO <br /> agency for use in making <br /> prescheduled advances 3rd month 0.00 <br /> ALTERNATE COMPUTATION FOR ADVANCES ONLY $ <br /> 12. <br /> a. Estimated Federal cash outlays that will be made during period covered by the advance <br /> $ 0.00 <br /> b. Less: Estimated balance of Federal cash on hand as of beginning of advance period <br /> STANDARD FORM 270 (Rev. 7-97) <br /> (Continued on Reverse) prescribed by OMB Circulars A-102 and A-110 <br /> c. Amount re uested (Line a minus line b) <br /> AUTHORIZED FOR LOCAL REPRODUCTION <br /> <br />