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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 
PIN: PAN: €IN: USER CODE: F15 
ACH REGION: 05 STATE: 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 IS RESPOIVSIBLE FOR YOUR ACCOUNT IS 
NICOLE DUNNING OR STAFF AT: 301-443-0395 
RETURN THE COMPLETED FORM TO: 
DIVISIOIV OF PAYMENT MANAGEMENT 
P.O. BOX 6021 
ROCKVILLE, MD. 20852 



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PSC272-A FEDERALCASHTRANSACTIONREPORT 

HHS -PMS 

PERIOD COVERED BY THIS REPORT: 
PIN: PAN: EIN: 04/01/2007 -06/30/2007 
ACH REGION: 05 STATE: MN GENERAL 

"'-=---7.8-*.-~--~~m~.~.-m--.,----~~-*-*..fla~v 

LINE [ FED GRANT ] [ RECIP A/C OR ] ( AUTHORIZED 
I* M . .c . ,, . ] FEDERAL SHARE NET DISBURSEMENT 
NUM OR OTHER ID OTHER ID NO * AMOUNT * CUM -PREV PER CUM -CURR PER 
(A (0) (C) (Dl (El 
1 G 90REO 1 166,619.00 98,154.00 

SU B-TOTAL 166,619.00 98,154.00 0.00 

PLEASE ENTER DOCUMENTS MISSING FROM ABOVE 

TOTALS 
NET DISBURSEMENTS: (COLUMN E MINUS COLUMN D) MUST CORRESPOND 
WITH AMOUNT SHOWN ON PSC 272