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OMB APPROVAL NO. PAGE OF <br /> REQUEST FOR ADVANCE 0348-0004 1 2 PAGES <br /> a. '7C"one or bolh boxes 2. BASIS OF REQUEST <br /> OR REIMBURSEMENT ? ADVANCE ® REIMBURSE- <br /> TYPEOF MENT ? CASH <br /> PAYMENT b. 'x" the applicable box <br /> (See instructions on back) REOUesTEO ? 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 Mahagement HEF061M12 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 March 23, 2006 June 30,2006 <br /> 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sent t(dif(erent than item 9) <br /> Name: City of Eugene Name: <br /> Number <br /> and Street: 777 Pearl Street Number <br /> and Street: <br /> City, State City, State <br /> and z~P code: Eugene, OR 97401 <br /> and ZIP Code: . <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> PROGRAMS/FUNCTIONS/ACTIVITIES ? TOTAL <br /> Native Plant <br /> Procurement <br /> a. Total program (As of dale) <br /> outta s to date $ 6,000.00 $ 0.00 $ 0.00 $ 6,000.00 <br /> b, Less: Cumulative ro ram income 0.00 <br /> c. Net program outlays (Line a minus <br /> line b) 6,000.00 0.00 0.00 6,000.00 <br /> d. Estimated net cash outlays for advance 0.00 <br /> eriod <br /> <br /> • e. Total (sum ofiines c a d) 6,000.00 0.00 0.00. 6,000.00 <br /> f. Non-Federal share of amount on line a 0.00 <br /> . Federal share of amount on line a 6,000.00 6,000.00 <br /> h. Federal a ments reviousl re uested 0.00 <br /> i. Federal share now requested (Line g 6,000.00 0.00 0.00 6,000.00 <br /> minus line h) <br /> L Advances required by <br /> month, when requested 1st month 0.00 <br /> by Federal grantor <br /> agency for use in making 2nd month 0.00 <br /> prescheduled advances 3rd month ~ 0.00 <br /> 12. ALTERNATE COMPUTATION FOR ADVANCES ONLY • <br /> a. Estimated Federal cash outla s that will be made Burin eriod covered b the advance $ 0.00 <br /> b. Less: Estimated balance of Federal cash an hand as of be innin of advance eriod . <br /> c. Amount re uested (Line a minus line b) $ 0.00 <br /> AUTHORIZED-FOR LOCAL REPRODUCTION (Continued on Reverse) STANDARD FORM 270 (Rev. 7.9~ <br /> Prescribed by OMB Circulars A-102 and A-110 <br /> <br />