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OMB APPROVAL NO. PAGE OF <br /> 0348-0004 1 2 PAGES <br /> REQUEST FOR ADVANCE a. '7C"one or both boxes 2. BASIS OFREOUEST <br /> OR REIMBURSEMENT ? ADVANCE ® REIMBURSE- <br /> TYPE OF MENT ? CASH <br /> PAYMENT 6. 'x" the applicable box <br /> (See instructions on back) REQUESTED pJ FINAL ? PARTIAL ®ACCRUAL <br /> 3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO 4. FEDERAL GRANTOR 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 HAF051 M06 1 <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 May 17, 2005 February 10, 2006 <br /> 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sent if different than item 9) <br /> Name: City Of Eugene Name: <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 /> I <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> (a) (bJ (c) <br /> PROGRAMS/FUNCTIONS/ACTIVITIES ? <br /> Botanical Assistance TOTAL <br /> a. Total program (As of date) $ 52,004.00 $ $ $ 52,004.00 <br /> outlays to date <br /> b. Less: Cumulative rogram income 0.00 0.00 <br /> c. Net program outlays (Line a minus <br /> line b) 52,004.00 0.00 0.00 52,004.00 <br /> d. Estimated net cash outlays for advance 0.00 <br /> eriod <br /> <br /> ' e. Total (Sum oflines c & d) 52,004.00 0.00 0.00 52,004.00 <br /> f. Non-Federal share of amount on line a 0.00 0'00 <br /> g. Federal share of amount on line e 52,004.00 52,004.00 <br /> h. Federal payments reviously requested O.OO O.OO <br /> i. Federal share now requested (Line g 52,004.00 0.00 0.00 52,004.00 <br /> minus line h) <br /> 1• Advances required by <br /> month, when requested 1st month O.OO <br /> by Federal grantor 0.00 <br /> agency for use in making 2nd month <br /> prescheduled advances 3rd month 0.00 <br /> 12. ALTERNATE COMPUTATION FOR ADVANCES ONLY <br /> a. Estimated Federal cash outlays that will be made Burin eriod covered b the advance $ 0.00 <br /> b. Less: Estimated balance of Federal cash on hand as of beginnin of advance period <br /> $ 0.00 <br /> c. Amount requested (Line a minus line b) <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 /> <br />