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Attachment E <br /> JUSTIFICATION OF ADVANCE PAYMENT <br /> RECIPIENT . <br /> Indicate by checking one of the boxes below if you are requesting an advance. If an advance payment is requested, <br /> budget data on which the request is based must be submitted . Any advance payment under this Agreement is <br /> subject to s. 216. 181 ( 16), Florida Statutes. The amount which may be advanced shall not exceed the expected cash <br /> needs of the Recipient within the initial three months of the Agreement. <br /> [ ] 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) ( B) (C) ( D) <br /> DESCRIPTION IFFY 2009 FFV 2010 FFY 2011 Total <br /> 1 INITIAL CONTRACT ALLOCATION <br /> 2 FIRST THREE MONTHS 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 <br /> have this 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 /> 29 <br />