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<br /> ~i <br /> OMB APPROVAL NO. PAGE OF <br /> REQUEST FOR ADVANCE o34s-ooo4 1 2 PAGES <br /> i <br /> a. '7C" one or both boxes 2, BASIS OF REQUEST <br /> OR REIMBURSEMENT ?ADVANCE ® REIMBURSE- <br /> TYPE OF MENT ~ CASH <br /> PAYMENT b. %C"the applicable box <br /> (See instructions on back) REQUESTED ®ACCRUAL <br /> m FINAL ? PARTIAL <br /> 3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO 4. FEDERAL GRANT OR 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. Bureau of Land Management HEF041 M06 1 <br /> i <br /> 6. EMPLOYER IDENTIFICATION 7. RECIPIENTS ACCOUNT NUMBER 8. PERIOD COVERED BY THIS REQUEST <br /> NUMBER OR IDENTIFYING NUMBER FROM (month, day, year) TO (month, day, year) <br /> 93-6002160 1536-0031-8601 October 1, 2004 June 30, 2005 <br /> 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sent 1/different than Item 9) <br /> Name: Clty Of Eugene Name: <br /> { Number Number <br /> and street: 777 Pearl Street <br /> and Street: <br /> city, state Eu ene, OR 97401 City, state <br /> and ZIP Code: g and ZIP Code: <br /> 11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> (a) (b) (c) <br /> PROGRAMS/FUNCTIONS/ACTIVITIES ~ <br /> Botanical Assistance TOTAL <br /> a. Total program (As ofdateJ $ 14,500.00 $ $ $ 14,500.00. <br /> outla s to date <br /> b. Less: cumulative rogram income 0.00 0.00 <br /> c. Net program outlays (Line a minus <br /> line b) 14,500.00 0.00 0.00 14,500.00 <br /> d. Estimated net cash outlays for advance <br /> rind 0.00 <br /> e. Total (Sum oflines c & d) 14,500.00 0.00 0.00 14,500.00 <br /> f. Non-Federal share of amount on line a 0.00 0.00 <br /> . Federal share of amount on line a 14,500.00 14,500.00 <br /> h. Federal a ments reviously requested 0.00 Q•OO <br /> i. Federal share now requested (Line g <br /> minus line h) 14,500.00 0.00 0.00 14,500.00 <br /> 1~ 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•QQ <br /> ~2• ALTERNATE COMPUTATION FOR ADVANCES ONLY <br /> a. Estimated Federal cash outla s that will be made Burin eriod covered b the advance $ 0.00 <br /> b. Less: Estimated balance of Federal cash on hand as of be innin of advance eriod <br /> Amount re nested (Line a minus line b) $ 0.00 <br /> JTHORIZED FOR LOCAL REPRODUCTION (Continued on Reverse) STANDARD FORM 270 (Rev. 7-9~ <br /> Prescribed by OMB Circulars A-102 and A-110 <br /> <br />