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I <br /> - OMB APPROVAL NO. PAGE OF <br /> 0348-0004 1 2 PAGES <br /> REQUEST FOR ADVANCE a. "X" one or both boxes 2. BASIS OF REQUEST <br /> OR REIMBURSEMENT ?AOVANCE ®REIMBURSEMENT ? CASH <br /> j TYPE OF <br /> PAYMENT b. "X° the applicable box ® ACCRUAL <br /> REQUESTED <br /> ~ (See Instructions on back) ? FINAL ®PARTIAL <br /> i. 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 <br /> ° U.S. Bureau of Land Management HAF071 M17 1 <br /> . 6. EMPLOYER IDENTIFICATION NUMBER 7. RECIPIENT ACCOUNT NUMBER OR PERIOD COVERED BY THIS REQUEST <br /> INDENTIFYING NUMBER FROM (month, day, year) TO (month, day, year) <br /> j 93-6002160 1536-0031-8601 July 1, 2007 December 15, 2008 <br /> ~ ~ 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sentrf different than item 9) <br /> ~ Name Name <br /> ~ City of Eugene <br /> Number Number <br /> and Sveet 777 pearl Street and Sveet <br /> i <br /> City, State City, State <br /> and ZIP Code Eugene, OR 97401 and ZIP Code <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> (a) tb) {c) (d) <br /> Vegetation Management <br /> PROGRAMS/FUNCTIONS/ACTIVITIES ~ TOTAL <br /> a. Total program outlays to date (As of date) $47,956.95 $47,956.95 <br /> I <br /> b. Less: Cumulative program income 0.00 0.00 . <br /> c. Net program outlays (Line a minus line b) $47;956.95 $47,956.95 <br /> d. Estimated net cash outlays for advance period 0.00 0.00 <br /> <br /> ~ $47,956.95 <br /> <br /> i e. Total (Sum oflines c & d) $47,956.95 <br /> <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 $47,956.95 $47,956.95 <br /> h. Federal payments previously requested. $11,030.95 $11,030.95 <br /> i. Federal share now requested (Line g minus line h) $36,926.00 $36,926.00 <br /> 1s` month 0.00 <br /> j. Advances required by month, <br /> when requested by Federal 2^' month 0.00 <br /> grantor agency for use in making <br /> prescheduled advances <br /> 3rd month 0.00 <br /> 12. ALTERNATE COMPUTATION FOR ADVANCES ONLY <br /> a. Estimated Federal cash outlays 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 /> ) t <br /> i~ <br /> } <br /> <br />