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JUL-24-00 MON 03:56 PM US EPA MD FAX N0. 2065534957 P.OI/D2 <br /> w OMB wpPQOVAL ND. PAGE • <br /> O34H-~QC4 PAGES <br /> _ RECZUEST FOR A[SVANCE „-,~,dp,n,,~ ~ 2BASISOF'RtlouESr <br /> OR REIMBURSENI~NT p ADVai+~cE ~ RIEIMSUtzsE- • <br /> 1YPECF IIIIEiVT $~CASN <br /> pwYMETYT n. 'Sr-y~o vvv~ ho,e <br /> (See instructions on back) REOUE51=0 ~ F1HlAL ? PART1Al. C1 ACCRUAL <br /> 1 FEDEtAI SpON$ORING AGENCY ANO ORGAN¢ATIONAL c'i.ETA17Yi' lt7 ftAL GRANT OR O na6R 5. PARTIAL PAYMESIT REWESr <br /> WHK:FI THIS REPORT 13 SUBMRTED IOSTrnFY1P16 NUMBER ASSIGN® NUMBER FCR THIS RECUE5T <br /> US ENVIRONMENTAL PROTECTION AGENCY BY~~LAGEJHCY <br /> . CD 98073401 1 N/A <br /> 6. EMPLOYER IC)EAITIF•1GATION 7. RFCIPI~YT'3 wCCOVNT NUMBER PE`7710D CQVt_RED BY THiS REtlUEST <br /> i NUMBER OR IDENTIFYING WMB~ FROM (RwnGh day year) Tn (nlollfh. p4Y• YP~) <br /> 93 6002160 05/01/2000 06/30/2001 <br /> A REG:PIENT ORQANIIATION 19. PAYEE (WA9rB cJlerJr is to 17e S6/+t it drtferent than item 91 <br /> nrame: CITY OF EUGENE Name: CITY OF EUGENE <br /> CES <br /> PUBLIC LdORKS ~(DMINISTRATION FINANCIAL SERVI <br /> Number g58 PEARL ST 4TH FLOOR Nvtnber PO BOX 1967 <br /> andsaeer: EUGENE OREGON 97401 andstreer. EUGENE OREGON 97440 <br /> City, State City, Stale • <br /> ~ and ?JP Code: and ZIP Cede: <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> ---PROGRAMS%FUNCTIONS/A'CT1VtTIES~ _ - <br /> • CONTRACTUAL• PERSONNEL TOTAL <br /> a Total-program -taswdar~s _ $ - $ S $ 8 5 02 , 5 0 <br /> and to date 6 203.88 2 298.62 <br /> b. L _ss;_Cumul_mtive _ income T <br /> c. Net prdgralrn outlays (tlrre a rnr+TUS 8 , 5 t) 2.5`0 <br /> 6neb) 6,2D3.88 2,298,62 <br /> d. Estimated net cash outlays for advance <br /> trod <br /> . - - - - <br /> _ - <br /> <br /> I e. Totalfsumo/~nescadl 6,203.88 2,298:62 - 8,502.50 <br /> r. Non-i=ederal share et amount on line e •5 7 4 .6 6 2 ,12 5.6 3. <br /> _ Federui-share of amowron line e ~ _ 6.5.2 1 - ' . - - <br /> h. Federal erlts reviou f ed P <br /> i. Federal share now requested (tire g 6 , 37 6.87 ' <br /> minus 6n® h) 4 , 65 2.91 1, 7 2 3.96 <br /> i. Advances required by <br /> momh, when requested 1st rryontll <br /> by Federal granlgr <br /> 89~' (ar use in making .2nd rTlorltl'I <br /> prescheduled advances 3rd mortRh . <br /> 12. ALTERNATE COMPUTATION FOR ADVANCES ONLY <br /> a. Estimated Fed cash outla that will be made Burin rod covereQ the advance S ' <br /> b. t.b$$: Eatirr?etfld W10nce of Fcdaal cash on hand as of inni of 2dvance period <br /> c, Amount uesteq ita a nrnus ire b) $ <br /> AUTHOR)2~D fOR LOCAL REFROI3UCTION (Con7nued on Reverse) sTANDARD FORM z7e (Rer. 7-97) <br /> Prescribed by OM8 Circulars A-102 and A-11 O <br /> _ _ _ <br /> <br />