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ATTACHMENT E <br /> JUSTIFICATION OF ADVANCE PAYMENT <br /> RECIPIENT: <br /> If you are requesting an advance, indicate same by checking the box below. <br /> [ ] ADVANCE REQUESTED <br /> Advance payment of$ is requested. <br /> Balance of payments will be made on a reimbursement basis. <br /> These funds are needed to pay staff, award benefits to clients, <br /> duplicate forms and purchase start-up supplies and equipment. <br /> We would not be able to operate the program without this advance. <br /> If you and requesting an advance, complete the following chart and line item justification below. <br /> ESTIMATED EXPENSES <br /> BUDGET CATEGORY/LINE ITEMS 20_-20_Anticipated Expenditures for First Three Months <br /> (list applicable line items) of Contract <br /> For example <br /> ADMINISTRATIVE COSTS <br /> (Include Secondary Administration.) <br /> For example <br /> PROGRAM EXPENSES <br /> TOTAL EXPENSES <br /> LINE ITEM JUSTIFICATION (For each line item, provide a detailed justification explaining the need for the cash <br /> advance. The justification must include supporting documentation that clearly shows the advance will be <br /> expended within the first ninety(90)days of the contract term. Support documentation should include <br /> quotes for purchases,delivery timelines,salary and expense projections,etc.to provide the Division <br /> reasonable and necessary support that the advance will be expended within the first ninety(90)days of the <br /> contract term. Any advance funds not expended within the first ninety(90)days of the contract term shall be <br /> returned to the Division Cashier, 2555 Shumard Oak Boulevard, Tallahassee,Florida 32399, within thirty(30) <br /> days of receipt,along with any interest earned on the advance) <br /> 41 <br /> 99 <br />