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<br />OMB APPROVAL NO. PAGE OF <br />0348-0004 1 <br />2 PAGES <br />REQUEST FOR ADVANCE <br />1. a. “X” one or both boxes 2. BASIS OF REQUEST <br />OR REIMBURSEMENT <br />ADVANCE REIMBURSEMENT CASH <br />TYPE OF <br />PAYMENT b. “X” the applicable box <br /> ACCRUAL <br />REQUESTED <br />(See instructions on back) <br />FINALPARTIAL <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 />U.S. Bureau of Land Management ASAP # L10AC20366 1 <br />6. EMPLOYER IDENTIFICATION NUMBER 7. RECIPIENT ACCOUNT NUMBER OR 8. PERIOD COVERED BY THIS REQUEST <br />INDENTIFYING NUMBER <br />FROM (month, day, year) TO (month, day, year) <br />93-6002160 <br />1536-0031-8601 October 1, 2010 March 31, 2011 <br />9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sent if different than item 9) <br />Name Name <br /> City of Eugene <br />Number Number <br />and Street and Street <br /> 777 Pearl Street <br />City, State City, State <br />and ZIP Code and ZIP Code <br /> Eugene, OR 97401 <br />11. COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED <br /> (a) (b) (c) (d) <br />Native Plant <br />Procurement <br />TOTAL <br />PROGRAMS/FUNCTIONS/ACTIVITIES <br />a. Total program outlays to date (As of date) <br />$54,265.53 $54,265.53 <br />b. Less: Cumulative program income <br />0.000.00 <br />c. Net program outlays (Line a minus line b) <br />$54,265.53 $54,265.53 <br />d. Estimated net cash outlays for advance period <br />0.000.00 <br />e. Total (Sum of lines c & d) <br />$54,265.53 $54,265.53 <br />f. Non-Federal share of amount on line e <br />0.000.00 <br />g. Federal share of amount on line e <br />$54,265.53 $54,265.53 <br />h. Federal payments previously requested <br />0.000.00 <br />i. Federal share now requested (Line g minus line h) <br />$54,265.53 $54,265.53 <br />st <br />1 month 0.00 <br />j. Advances required by month, <br /> when requested by Federal <br />nd <br />2 month 0.00 <br /> grantor agency for use in making <br /> prescheduled advances <br />rd <br />3 month 0.00 <br />12. ALTERNATE COMPUTATION FOR ADVANCES ONLY <br />0.00 <br />a. Estimated Federal cash outlays that will be made during period covered by the advance <br />b. Less: Estimated balance of Federal cash on hand as of beginning of advance period <br />0.00 <br />c. Amount requested (Line a minus line b) <br />STANDARD FORM 270 <br />AUTHORIZED FOR LOCAL REPRODUCTION (Rev. 7-97) <br />(Continued on Reverse) <br /> Prescribed by OMB Circulars A-102 and A-110 <br /> <br />