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C <br /> . ! i 2 <br /> / <br /> i <br /> OMB APPROVAL NO. PAGE OF <br /> i <br /> REQUEST FOR ADVANCE 0348-0004 1 2 PAGES <br /> a. X'one orbofh boxes 2. BASIS OF REQUEST <br /> OR REIMBURSEMENT OADVANCE ~ REIMBURSE- <br /> TYPE OF MEN <br /> T ? CASH <br /> PAYMENT b. hC" the applipble box ~Od <br /> ~ ~ <br /> (See instructions on bacl~ REQUESTED ~ FINAL (a PARTIAL 0 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. Fish and Wildlife Service 98210-2-G396 1 <br /> 6. EMPLOYER IDENTIFICATION RECIPIENTS ACCOUNT NUMBER 8. PERIOD COVERED BY THIS REQUEST <br /> j NUMBER OR IDENTIFYING NUMBER FROM (month, day, year) TO (month, day, year) <br /> 93-6002160 1536-0031-8601 July 29, 2002 July 29, 2002 <br /> 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sent KdiB'erenf than item 9) <br /> Name: City of Eugene Name: <br /> Number <br /> Number <br /> and Street: 777 Peafl St. andStreek <br /> City, State City, State <br /> andz~P code: Eugene, OR 97401 <br /> and Z!P Code: <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> (a) (b) (c) <br /> -PROGRAMS/FUNCTIONS/ACTIVITIES ? - - - <br /> TOTAL <br /> _ a. Total lxogram tasotdare)- ~ ~ ~ $ <br /> outla to date 0.00 <br /> b. Less: Cumulative program income 0.00 <br /> <br /> - c. Net pr_ogram_outlays_{Une-a_minus - - - - - - - - <br /> Gne b) 0.00 0.00 0.00 0.00 <br /> d. Estimated net-cash outlays for advance <br /> eriod 0.00 <br /> e. Total (Sum oflines c & d) 0.00 0.00 0.00 0.00 <br /> f. Non-Federal share of amount on line e . 0.00 <br /> _ <br /> .Federal share of amourf'on line'e <br /> h. Federal a ments reviousl requested 0.00 <br /> i. Federal share now requested (Une g 0.00 0.00 0.00 0.00 <br /> minus Gne 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 outlays that will be made during riod covered b the advance $ 525,000.00 <br /> b. Less: Estimated balance of Federal cash on hand as of be innin of advance period 0.00 <br /> c. Amount requested (Line a minus Gne b) $ 525,000.00 <br /> AUTHORIZED FOR LOCAL REPRODUCTION (Continued on Reverse) STANDARD FORM 270 tRev. 7.8r7 <br /> Prescribed by OMB Circulars A-102 and A-110 <br /> - _ _ <br /> - - <br /> <br />