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F[NANCIAL STATUS REPQRT <br /> (Short Form) <br /> (F.o!!ow instructions on the back) <br /> ~>deral Agency and Organizational Element 2. Federal Grant or Other identifying Number Assigned OMB Approval Pa <br /> i ,Which Report is Submitted By Federal Agency No <br /> US ENVIRONMENTAL <br /> 0348-0038 <br /> PROTECTION AGENCY CD 980734fl1 '1 pages <br /> 3. Recipient Organization (Name and complete address, including ZfP code) <br /> CITY Of EUGENE •PUBLIC WORKS fkDMTNISTRATION <br /> 858 PEARL ST 4TH FLOOR EUGENE .OREGON 97401 <br /> ' 4. Employer Identification Number 5. Recipient Account Number or Identifying Number 6. Final Report 7. Basis <br /> ~ 93 6002160 <br /> ® Yes Q Na ~ Cash ? AccruaE <br /> 8. Funding/Grant Period (See rnstructronsj 9. Period Covered by this Report <br /> From; (Month, Days Year) Ta: {Month, Oay, Year) From: (Month, Day, Year) To: (Month, Day, Year) <br /> 05/O1/200th 06/30/2001 05/01/2000 06/30/2001 <br /> 10, Transactions: € If 111 <br /> i <br /> Previously This Cumulative <br /> Reported Period <br /> a. Total outlays 0 8 , 5 02.5 0 $ , 5 02.5 0 <br /> b. Recipient share of outlays 2 ,12 5.6 3 2 ,12 5.6 3 <br /> c. Federal share of outlays 6 , 376.87 6, 376.87 <br /> d. Total unl€quidated obligations <br /> Recipient share of unliquidated obligations <br /> >¢D .,a <br /> f. Federal share of uMiquidated obligations r~ <br /> g. Total Federal share(Surrt oflines c and fj ; ~ ~ 6 , 37 6.8 7 <br /> ~z~M <br /> a> <br /> h. Total Federal funds authorized for this funding period 6 5 t)0. QO <br /> ~,xJ s <br /> 3 <br /> i. Unobligated balance of Federa€ fundy`Lrne h minus line g) , ~ 12 3.0 3 <br /> <br /> i ~ <br /> a. Type of Rate(Place X'rn appropriate boxj <br /> t i. Indirect ? Prov€sional Predetermined Q Final ? Fixed <br /> Expense b. Rate ~ a Base ~ d. Tofaf Amount e. Federal Share <br /> t 2. Remarks: Attach any explanations deemed necessary orinfamration required by Federal sponsoring agencyin compliance with govemmg <br /> legislation. <br /> 13. CerUf{cation: f certify to the best of my knowledge and belief that this report is correct and. complete and that alt outlays and <br /> unliquidated obliga#ions are for the purposes set forth in the award documents. <br /> Typed or Printed Name and Title Telephone {Area code, number and extension} <br /> PEGGY HAMLIN FINANCIAL ANALYST AIC ~ 541 682 5834 <br /> Signature of Aut red Certifying Official Date Report Submitted <br /> _ - <br /> i' ~ 8)4)01 <br /> dSN 7540-Oi-218-4387 269-202 Standard Form 269A {Rev. 7-37) <br /> Prescribed by OMB Circulars A-102 and A-11( <br /> e _ <br /> <br />