272- form

Page 1 of 1
PSC 272

FEDERAL CASH TRANSACTION REPORT

STATUS OF FEDERAL CASH

OMB NO. 0990-078
PERIOD COVERED BY THIS REPORT:
04/01/2007 - 06/30/2007

PAN :

PIN:
ACH

REGION:

05

€IN:
STATE:

USER CODE: F15

MN

GENERAL

1. CASH ON HAND BEGINNING OF REPORTING PERIOD
2. TOTAL RECEIPTS (SEE STATEMENT OF CASH ACCOUNTABILITY FOR DETAILS)

3. TOTAL CASH AVAILABLE
4. NET DISBURSEMENTS (FROM PSC 272-A)

5. CASH ON HAND END OF PERIOD (LINE 3, MINUS LINE 4 )
6. THE AMOUNT SHOWN ON LINE 5, ABOVE,
REPRESENTS CASH REQUIREMENTS FOR THE ENSUING '

' DAYS

7. INTEREST INCOME
8. ADVANCES TO SUBGRANTEES OR SUBCONTRACTORS

THE PMS CONTACT WHO I S RESPOIVSIBLE FOR YOUR ACCOUNT I S
NICOLE DUNNING OR STAFF AT: 301-443-0395
RETURN THE COMPLETED FORM TO:
DIVISIOIV OF PAYMENT MANAGEMENT
P.O. BOX 6 0 2 1
ROCKVILLE, MD. 20852

Page 1 of 1
PSC 272-A

FEDERAL CASH TRANSACTION REPORT
HHS - PMS

PIN:
ACH

PAN:
REGION:

"-'=---

7.8-

[

LINE

05

EIN:
STATE:

*

PERIOD COVERED BY THIS REPORT:
04/01/2007 - 06/30/2007

.

FED GRANT

NUM

OR OTHER I D

1

(A
G 90REO 1

-

~

-

MN
-

] [

~

~

m

GENERAL
~

.

~

.

-

m

-

RECIP A/C OR

-

.

,

-

] (

-

-

-

~

~

-

*

-

*

.

f

OTHER I D NO

AUTHORIZED
.
.
.
* AMOUNT *

(0)

(C)

I *

M

SU B-TOTAL

.c

,,

l

a

]

~

v

FEDERAL SHARE NET DISBURSEMENT
CUM

- PREV PER

166,619.00

(Dl
98,154.00

166,619.00

98,154.00

PLEASE ENTER DOCUMENTS MISSING FROM ABOVE
TOTALS
NET DISBURSEMENTS: (COLUMN E MINUS COLUMN D) MUST CORRESPOND
WITH AMOUNT SHOWN ON PSC 272

.

CUM - CURR PER
(El

0.00