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Request for Disbursement of Contributions Form
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Request for Disbursement of Contributions Form
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Last modified
1/26/2010 4:39:26 PM
Creation date
6/23/2009 10:26:23 AM
Metadata
Fields
Template:
Water Supply Protection
File Number
8561.650
Description
Finance (Billing, Suspense Docs, Ectr)
State
CO
Basin
South Platte
Water Division
1
Date
1/1/3000
Author
Governance Committee
Title
Request for Disbursement of Contributions Form
Water Supply Pro - Doc Type
Contract/Agreement
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4 ` s" <br />REQUEST FOR ADVANCE OR REIMBURSEMENT - SUPPLEMENT TO SF-270 <br />REQUEST FOR ADVANCE OR REIMBURSEMENT BY THE STATES <br />COMPUTATIOfY OF AMOUNT OF REIMBURSEMENT/ADVANCES RE UESTED -STATES <br /> COIARADO NEBRASKA WYOMING TOTALS <br />a. Total program (As ojdale) <br />ouda to da <br />$ <br />$ <br />$ <br />$ <br />b. Less: Cumulative r m income <br />c. A3et program outlays (Line a <br />minus line b) <br />d. Estimated net cash outlays for <br />advance eriod <br />e. Total Sum o lrnes c& d <br />h. State payments previousiy <br />re uested <br />i. State share now requested (Line g <br />minus line h) <br />REQUEST SUMMARY <br />Bureau of Reclamation: $ <br />State of Colorado $ <br />State of Nebraska $ <br />State of Wyoming $ <br />TOTAL THIS REQUEST: $
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