+----------------+----------------+----------------+----------------+
| **FEDERAL CASH | **OMB APPROVAL |                |                |
| TRANSACTIONS   | No. 0348-0003  |                |                |
| REPORT **      | **             |                |                |
|                |                |                |                |
| **CONTINUATION |                |                |                |
| **             |                |                |                |
|                |                |                |                |
| (This form is  |                |                |                |
| completed and  |                |                |                |
| attached to    |                |                |                |
| Standard Form  |                |                |                |
| 272 only when  |                |                |                |
| reporting more |                |                |                |
| than one grant |                |                |                |
| or assistance  |                |                |                |
| agreement.)    |                |                |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
|                | 1\. FEDERAL    |                |                |
|                | SPONSORING     |                |                |
|                | AGENCY AND     |                |                |
|                | ORGANIZATIONAL |                |                |
|                | ELEMENT TO     |                |                |
|                | WHICH THIS     |                |                |
|                | REPORT IS      |                |                |
|                | SUBMITTED      |                |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
| **2. RECIPIENT |                |                |                |
| ORGANIZATION   |                |                |                |
| **(Give name   |                |                |                |
| only as shown  |                |                |                |
| in item 2,     |                |                |                |
| SF-272)        |                |                |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
|                | 3\. PERIOD     |                |                |
|                | COVERED BY     |                |                |
|                | THIS REPORT    |                |                |
|                | (As shown on   |                |                |
|                | SF-272)        |                |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
|                | FROM (month,   | TO (month,     |                |
|                | day, year)     | day, year)     |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
| 4\. List       |                |                |                |
| information    |                |                |                |
| below for each |                |                |                |
| grant or other |                |                |                |
| agreement      |                |                |                |
| covered by     |                |                |                |
| this report.   |                |                |                |
| Use additional |                |                |                |
| forms if more  |                |                |                |
| space is       |                |                |                |
| required.      |                |                |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
| FEDERAL GRANT  | RECIPIENT      | FEDERAL SHARE  |                |
| OR OTHER       | ACCOUNT NUMBER | OF NET         |                |
| IDENTIFICATION | OR             | DISBURSEMENTS  |                |
| NUMBER         | OT             |                |                |
|                | HERIDENTIFYING |                |                |
| (Show a        | NUMBER         |                |                |
| subdivision by |                |                |                |
| other          | \(b\)          |                |                |
| identifying    |                |                |                |
| numbers if     |                |                |                |
| required by    |                |                |                |
| the Federal    |                |                |                |
| Sponsoring     |                |                |                |
| Agency)        |                |                |                |
|                |                |                |                |
| \(a\)          |                |                |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
|                |                | NET            | CUMULATIVE     |
|                |                | DISBURSEMENTS  |                |
|                |                | (Gross         | NET            |
|                |                | disbursements  | DISBURSEMENTS  |
|                |                | less program   |                |
|                |                | income         | \(d\)          |
|                |                | received) FOR  |                |
|                |                | REPORTING      |                |
|                |                | PERIOD (c)     |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
|                |                | \$             | \$             |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
| 5\. TOTALS     | \$             | \$             |                |
| (Should        |                |                |                |
| correspond     |                |                |                |
| with amounts   |                |                |                |
| shown on SF    |                |                |                |
| 272 as         |                |                |                |
| follows:       |                |                |                |
|                |                |                |                |
| column(c) the  |                |                |                |
| same as        |                |                |                |
| line11h;       |                |                |                |
| column (d) the |                |                |                |
| sum of lines   |                |                |                |
| 11h and 11i of |                |                |                |
| the            |                |                |                |
|                |                |                |                |
| SF-272 and     |                |                |                |
| cumulative     |                |                |                |
| disbursements  |                |                |                |
| shown on last  |                |                |                |
| report. Attach |                |                |                |
| explanation    |                |                |                |
|                |                |                |                |
| of any         |                |                |                |
| differences.)  |                |                |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+

**AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 272A (Rev. 7-97)
Previous Edition Usable Prescribed by OMB Circulars A-102 and A-110 **