OMB Control No. 0551-0046
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 |
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Bank Name: |
Treasury, NYC |
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Type Code: |
CTR |
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Beneficiary (BNF): |
Commodity Credit Corporation |
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Account No. (ALC) |
4992 |
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Bank to Bank Information (BBI): |
Program Type: |
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Country Name: |
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Agreement No: |
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Type of Cost: |
Administrative Expense |
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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 |
| File Type | application/msword |
| File Title | REIMBURSEMENT OF UNSPENT CCC FUNDS AND AGREEMENT CLOSURE |
| Author | hoagk |
| Last Modified By | Connie.Ehrhart |
| File Modified | 2016-12-01 |
| File Created | 2016-12-01 |