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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <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 I 2021-2022 Anticipated Budget Category I <br />(List Applicable Cost Category) Expenditures for Advance Payment Request <br />TOTAL ANTICIPATED EXPENSES: I $0.00 I <br />BUDGET CATEGORY & COST JUSTIFICATION• For each Budget Category and cost, provide a <br />detailed justification explaining the need for the cash advance. The justification must include supporting <br />documentation that clearly shows the advance will be expended within the first ninety (90) days of the <br />Agreement's Performance Period. Support documentation should include anticipated training, POIs, <br />planning project expenses, and administrative costs (as applicable) to provide the Division with <br />reasonable and necessary justification for the advance request. Any advance funds not expended within the <br />first ninety (90) days of the Agreement's execution shall be returned to the Division Cashier, 2555 Shumard <br />Oak Boulevard, Tallahassee, Florida 32399, within thirty (30) days after the ninety (90) day timeframe <br />expires, along with any interest earned on the advance. <br />22 <br />