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Attachment E <br /> JUSTIFICATION OF ADVANCE PAYMENT <br /> RECIPLENT , <br /> Indicate by checking one of the boxes below if you are requesting an advance. If an advance payment is requested , budget <br /> data on which the request is based must be submitted . Any advance payment under this Agreement is subject to s. <br /> 216. 181 ( 16) , Florida Statutes. The amount which may be advanced shall not exceed the expected cash needs of the Recipient <br /> within the initial three months of the Agreement. <br /> [ <br /> [ )d NO ADVANCE REQUESTED ] ADVANCE REQUESTED <br /> Advance payment of $ is requested . Balance of <br /> No advance payment is requested . Payment payments will be made on a reimbursement basis . These funds <br /> will be solely on a reimbursement basis . No are needed to pay staff, award benefits to clients, duplicate <br /> additional information is required . forms and purchase start- up supplies and equipment . We <br /> would not be able to operate the program without this advance . <br /> ADVANCE REQUEST WORKSHEET <br /> If you are requesting an advance, complete the following worksheet <br /> (A) ( I3) (C) ( D) <br /> DESCRIPTION FFY 2008 FFY 2009 FFY 2010 Total <br /> 1 INITIAL CONTRACT ALLOCATION <br /> 2 FIRST THREE MONTI-IS CONTRACT <br /> EXPENDITURES ' <br /> 3 AVERAGE PERCENT EXPENDED IN FIRST <br /> THREE MONTHS <br /> ( Divide line 2 by line 1 .) <br /> First three months expenditures need only be provided for the years in which you requested an advance. If you do not have this <br /> information , call your consultant and they will assist you . <br /> MAXIMUM ADVANCE ALLOWED CALULATION : <br /> X $ _ <br /> Cell D3 DEM Award MAXIMUM ADVANCE <br /> ( Do not include any match ) <br /> 35 <br />