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OMB APPROVAL NO. <br />PAGE OF <br />RE <br />0348-0004 <br />1 2 PAGES <br />QUEST FOR ADVANCE <br />a. 'C'one or both boxes <br />2. BASIS OF REQUEST <br />OR REIMBURSEMENT <br />❑ADVANCE 0 REIMBURSE- <br />TYPE OF <br />MENT <br />® CASH <br />PAYMENT <br />b. X'the applicable box <br />(See instrucgons on back) <br />REQUESTED <br />FINAL PARTIAL <br />_ <br />❑ ACCRUAL <br />3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO <br />4. FEDERAL GRANT OR OTHER <br />5. PARTIAL PAYMENT REQUEST <br />WHICH THIS REPORT IS SUBMITTED <br />IDENTIFYING NUMBER ASSIGNED <br />NUMBER FOR THIS REQUEST <br />BY FEDERAL AGENCY <br />Environmental Protection Agency <br />AF-83452601 - 0 <br />6. EMPLOYER IDENTIFICATION <br />7. RECIPIENTS ACCOUNT NUMBER <br />8. PERIOD COVERED BY THIS REQUEST <br />NUMBER <br />OR IDENTIFYING NUMBER <br />FROM (month, day, year) <br />TO (month, day, year) <br />93-6002160 <br />04/01/2010 <br />09/30/2010 <br />Name: City of Eugene <br />Number <br />and street: 99 E. Broadway <br />city, state <br />and ZIP Code: Eugene, OR 97401 <br />"1 U. VAT= (Wnem CnecK is to ne sent n agierent than item 9) <br />City of Eugene, Public Works Administration <br />Number <br />and street: 101 East Broadway, Suite 400 <br />City, State Eugene, OR 97401 <br />and ZIP Code: <br />11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES RF0IIFSTFn <br />(a) <br />(b) <br />(c) <br />PROGRAMS/FUNCTIONS/ACTIVITIES ► <br />Smart Trips <br />TOTAL <br />a. Total program (As ofdete) <br />outlays to date <br />$ 2,781.75 <br />$ <br />$ <br />$ 2,781.75 <br />b. Less: Cumulative program income <br />0.00 <br />c. Net program outlays (Line a minus <br />Ineb <br />2,781.75 <br />0.00 <br />0.00 <br />2,781.75 <br />d. Estimated net cash outlays for advance <br />-period <br />0.00 <br />e. Total Sum of#nos c & co <br />2,781.75 <br />0.00 <br />0.00 <br />2,781.75 <br />f. Non-Federal share of amount on line a <br />917.98 <br />917.98 <br />Federal share of amount on line a <br />1,863.77 <br />1,863.77 <br />h. Federal payments previously requested <br />0.00 <br />0.00 <br />i. Federal share now requested (Line g <br />minus line h) <br />1,863.77 <br />0.00 <br />0.00 <br />1,863.77 <br />1• Advances required by <br />month, when requested <br />1 st month <br />0.00 <br />by Federal grantor <br />agency for use in making <br />2nd month <br />0.00 <br />prescheduled advances <br />3rd month <br />0.00 <br />HLI GRIVHiC VUIvIVU IAi iU1V r'UK AUVANGCS UNLY <br />a. Estimated Federal cash outlays that will be made during period covered by the advance $ <br />b. Less: <br />of Federal cash on hand <br />of advance <br />c. Amount requested (Line a minus #ne b) is 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 />