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OMB APPROVAL NO. PAGE <br /> OF <br /> REQUEST FOR ADVANCE 0348-0004 1 2 PAGES <br /> OR REIMBURSEMENT a.x"oneorbothboxes 2. BASIS OF REQUEST <br /> ? ADVANCE ® REIMBURSE- <br /> TrPEOF MENT ? CASH <br /> PAYMENT b. '7C"the applicable box <br /> (See instructions on back) REQUESTED <br /> 3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO la FINAL ? PARTIAL ®ACCRUAL <br /> ' WHICH THIS REPORT iS SUBMITTED 4. FEDERAL GRANTOR OTHER 5. PARTIAL PAYMENT REgUEST <br /> IDE <br /> : NTIFYING NU <br /> MBER ASSIG <br /> NED <br /> NUMBER FOR THIS REgUEST <br /> ' U.S. Bureau of Land Management BY FEDERAL AGENCY <br /> HAF041 M05 2 <br /> 8. EMPLOYER IDENTIFICATION 7. RECIPIENTS ACCOUNT NUMBER <br /> NUMBER PERIOD COVERED BY THIS REQUEST <br /> OR IDENTIFYING NUMBER FROM (month, day, year) <br /> 93-6002160 To (month, day, year) <br /> 1536-0031-8601 June 30, 2005 November 30, 2005 <br /> <br /> i <br /> 9. RECIPIENT ORGANIZATION 10. PAYEE (Where checkls to tie sent if different than ltem 9) <br /> Name: City of Eugene <br /> Name: <br /> Number <br /> and Streeh. 777 Pearl Street Number <br /> and Street <br /> City, State <br /> andZlPCode: Eugene, OR 97401 City, State <br /> and ZlP Code: <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> PROGRAMS/FUNCTIONS/ACTIVITIES ~ (a) (b) (o) <br /> Native Plant Materials TOTAL <br /> a. Total program (As o(dors) <br /> out?a stodate $ 58,000.00 $ $ $ 58,000.00 <br /> b. Less: Cumulative rogram income O,OO <br /> c. Net program outlays (Une a minus O.OO <br /> fine b) 58,000.00 0.00 0.00 58,000.00 <br /> d. Estimated net cash outlays for advance <br /> eriod <br /> 0.00 <br /> e. Total (sum otfines c & d) 58,000.00 0.00 0.00 58,000.00 <br /> f. Non-Federal share of amount on line a O.OO <br /> 0.00 <br /> . Federal share of amount on line a 58,000.00 58,000.00 <br /> h. Federal a ments reviousl re uested 22,453.83 <br /> i. Federal share now requested (Line g 22,453.83 <br /> minus line b) 35,546.17 0.00 0.00 35,546.17 <br /> 1• Advances required by <br /> month, when requested 1st month <br /> by Federal grantor O.OO <br /> i <br /> agency for use in making 2nd month O.OO ~ <br /> prescheduled advances <br /> 3rd month 0.00 ' <br /> 12. ALTERNATE COMPUTATION FOR ADVANCES ONLY <br /> i <br /> a. Estimated Federal cash outla s that will be made Burin eriod covered b the advance $ ~ <br /> 0.00 <br /> b. Less: Estimated balance of Federal cash on hand as of be innin of advance eriod <br /> c. Amount re uested (Line a minus line b) $ <br /> i <br /> AUTHORIZED FOR LOCAL REPRODUCTION 0.00 <br /> (Continued On RBVerse) STANDARD FORM 270 (Rev. 7-97) j <br /> Prescribed by OMB Circulars A-102 and A-110 <br /> i <br /> 1 <br /> I <br /> <br />