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OMB APPROVAL NO. PAGE OF <br /> REQUEST FOR ADVANCE 0348-0004 1 2 PAGES <br /> ' a. '7C"one or both boxes 2. BASIS OF REQUEST <br /> OR REIMBURSEMENT ®ADVANCE ? REIMBURSE- <br /> . TYPE OF MENT 0 CASH <br /> PAYMENT b. ~C" the applicable box <br /> (See instructions on back) REQUesTED ~ 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 HEF051 M09 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 January 1, 2007 December 31, 2007 <br /> 9. RECIPIENT ORGANIZATION 10. PAYEE (Where Check IS t0 be Sent if dlf(efent than Item 9) <br /> Name: City Of Eugene Name: <br /> Number Number <br /> and Street: 777 Pearl Street and Stieet.~ <br /> City, state Eugene, OR 97401 City, State <br /> and ZIP Code. <br /> and Z!P Code: <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> PROGRAMS/FUNCTIONS/ACTIVITIES ? <br /> Engineering Construction TOTAL <br /> a. Total program (As of date) Q n'000.0o Q Q <br /> outla stodate ~V G w 0,000.00 ~ ~ 10,000.00 <br /> b. Less: Cumulative rogram income 0.00 0.00 0.00 0.00 <br /> c. Net program outlays (irne a minus 2,000.00 8,000.00 0.00 10,000.00 <br /> line b) <br /> d. Estimated net cash outlays for advance O.OO <br /> period <br /> e. Total (Sum ofiines c & d) 2,000.00 8,000.00 0.00 10,000.00 <br /> f. Non-Federal share of amount on line a 0.00 0.00 0.00 0.00 <br /> . Federal share of amount on line a 2,000.00 8,000.00 10,000.00 <br /> h. Federal payments previous) re uested 0.00 0.00 O.OO <br /> i. Federal share now requested (Line g 2,000.00 8,000.00 0.00 10,000.00 <br /> minus line h) <br /> J• 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 on hand as of be inning of advance period <br /> c. Amount re uested (Line a minus line b) $ O.OO <br /> <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 />