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<br /> _i <br /> I! <br /> OMB APPROVAL NO. - PAGE OF <br /> 0348-0004. 1 2 PAGES <br /> REQUEST FOR ADVANCE a. "X°oneor both boxes 2. BASIS OF REQUEST <br /> OR REIMBURSEMENT ?ADVANCE ®REIMBURSEMENT ? CASH <br /> TYPE OF <br /> PAYMENT ~ ~ b. "X" the appligble box ® ACCRUAL <br /> REQUESTED <br /> (See instructions on back) ? FINAL ®P.ARTIAL <br /> 3. FEDERAL SPONSORING AGENCY AND ORGANIZATION ELEMENT TO WHICH THIS 4. FEDERAL GRANT OR OTHER IDENTIFYING 5. PARTIAL PAYMENT REQUEST <br /> REPORT IS SUBMITTED NUMBER ASSIGNED BY FEDERAL AGENCY NUMBER FOR THIS REQUEST <br /> I t~s" y~, <br /> j U.S. Bureau. of Land Management HAF071 M16 d 1 <br /> i <br /> ~ 6. EMPLOYER IDENTIFICATION NUMBER 7. RECIPIENT ACCOUNT NUMBER OR g, PERIOD COVERED BY THIS REQUEST <br /> i INDENTIFYING NUMBER FROM (month, day, year) TO (month, day, year) <br /> 93-6002160 1536-0031-8601 July 1, 2007 December 15, 2008 <br /> 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sent if different than item 9) <br /> j Name Name - <br /> City of Eugene <br /> i <br /> Number Number <br /> and SVeet 777 pearl Street and SVeet <br /> i <br /> ~ City, State City, State <br /> ~ and ZIP Code and ZIP Code <br /> ~ Eugene, OR 97401 <br /> i <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> ~ (a) (b) {c) (d) <br /> i <br /> Vegetation Management <br /> PROGRAMS/FUNCTIONS/ACTIVITIES ~ TOTAL <br /> ~ a. Total program outlays to date (As ofdate) $17,728.00 $17,728.00 <br /> b. Less: Cumulative program income 0.00 0.00 <br /> c. Net program outlays (Line a minus line b) $17,728.00 $17,728.00 <br /> d. Estimated net cash outlays for advance period 0.00 0.00' <br /> $17,728.00 $17,728.00 <br /> ' e. Total (Sum of lines c & d) <br /> i <br /> f. Non-Federal share of amount on line a 0.00 0.00 <br /> g. Federal share of amount on line a $17,728.00 $17,728.00 <br /> h. Federal payments previously requested 0.00 ~ 0.00"~~~~ <br /> ~ $17,728.00 ~ $17,728.00 <br /> i. Federal share now requested (Line g minus line h) <br /> r' <br /> I <br /> 1s` month 0.00 <br /> j. Advances required by month, <br /> when requested by Federal 2nd month. 0.00 <br /> grantor agency for use in making ° <br /> prescheduled advances e <br /> 3` month -0.00 <br /> 12. ALTERNATE COMPUTATION FOR ADVANCES ONLY <br /> a. Estimated Federal cash oullays that will be made during period covered by the advance 0.00 <br /> b. Less: Estimated balance of Federal cash on hand as of beginning of advance period <br /> c. Amount requested (Line a minus line b) 0.00 <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 />