FEDERAL CASH TRANSACTIONS REPORT 
CONTINUATION 
(This form is completed and attached to Standard Form 272 only when reporting more than one grant or assistance agreement.)	OMB APPROVAL No. 0348-0003 	
	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, day, year) 
	TO (month, 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 OR OTHER IDENTIFICATION NUMBER
(Show a subdivision by other identifying numbers if required by the Federal Sponsoring Agency) 

(a)	RECIPIENT ACCOUNT NUMBER OR OTHERIDENTIFYING NUMBER 

(b)	FEDERAL SHARE OF NET DISBURSEMENTS 	
		NET DISBURSEMENTS (Gross disbursements less program income received) FOR REPORTING PERIOD (c) 	CUMULATIVE 
NET DISBURSEMENTS

(d) 	
		$ 	$ 	
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