Repayment of Unspent Funds Wire Transfer and Agreement C

OMB Control No. 0551-New

REPAYMENT OF FUNDS AND AGREEMENT CLOSURE

(Section 416(b)/Local and Regional Food Aid Procurement)

TO: Director, Food Assistance Division

USDA/Foreign Agricultural Service

STOP 1034

1400 Independence Avenue, SW

Washington, DC 20250-1034

From:

Subject: Agreement _____________________________, Budget Number __________,

Country _________________

In accordance with the above referenced Agreement and Budget, we request closure of this agreement and agree to reimburse the outstanding amount of funds in the amount of $_____________________. This includes the deduction of unspent funds originally allocated for projects.

Repayment by wire transfer please use the following information:

ABA No.:	021-030-004
Bank Name:	Treasury, NYC
Type Code:	CTR
Beneficiary (BNF):	Commodity Credit Corporation
Account No. (ALC)	4992
Bank to Bank Information (BBI):	Program Type:
	Country Name:
	Agreement No:
	Type of Cost:	Administrative Expense

Please notify Food Assistance Division either by phone (202) 720-4221 or by E-mail [email protected] when wire transfer has taken place.

Sincerely

For USDA use. ____________________________________ Branch Chief Date