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A TRUE COPY <br />CERTIFICATION ON LAS?. <br />J.R. SMITH, CLERK <br />Attachment D <br />JUSTIFICATION OF ADVANCE PAYMENT <br />SUB -RECIPIENT: <br />If you are requesting an advance, indicate same by checking the box below. <br />❑ ADVANCE REQUESTED <br />Advance payment of $ is requested. Balance of <br />payments will be made on a reimbursement basis. These funds are <br />needed to pay staff, award benefits to clients, duplicate forms and <br />purchase start-up supplies and equipment. We would not be able to <br />operate the program without this advance. <br />If you are requesting an advance, complete the following chart and line item justification below. <br />ESTIMATED EXPENSES <br />BUDGET CATEGORY <br />(List Applicable Cost Category) <br />2021-2022 Anticipated Budget Category <br />Expenditures for Advance Payment Request <br />TOTAL ANTICIPATED EXPENSES: <br />$0.00 <br />BUDGET CATEGORY & COST JUSTIFICATION: For each Budget Category and cost, provide <br />a detailed justification explaining the need for the cash advance. The justification must include <br />supporting documentation that clearly shows the advance will be expended within the first ninety <br />(90) days of the Agreement's Performance Period. Support documentation should include <br />anticipated training, POls, planning project expenses, and administrative costs (as <br />applicable) to provide the Division with reasonable and necessary justification for the advance <br />request. Any advance funds not expended within the first ninety (90) days of the Agreement's <br />execution shall be returned to the Division Cashier, 2555 Shumard Oak Boulevard, Tallahassee, <br />Florida 32399, within thirty (30) days after the ninety (90) day timeframe expires, along with any <br />interest earned on the advance. <br />23 <br />