SLU/Purchasing Signature

Authorization To Pay Federal Express Charges
Table Panels In Red Must Be Completed For Transmission


SHIPPING NOTIFICATION:

  Date Shipped/Received   Ex: 8/26/99  
  FEDEX Type (Letter or Package)     Ex: Letter
  Airbill Number   Ex: 123456789012
  Estimated Cost   Ex: 18
  Budget Unit Name To Charge   Ex: Purchasing
  Budget Unit Number To Charge   Ex: 24501
  Expenditure Category     Ex: 539600 - Postage  
  Budget Unit Head   Ex: Ed Gautier
  Date Budget Head Approved   Ex: 8/26/99

AFFIRMATION OF RECEIPT:

I certify the Federal Express service provided has been performed satisfactorily:

  Shipper/Receiver Name   Ex: Dr. Mary Smith
  Shipper/Receiver Email Address     Ex: msmith@selu.edu  

Note:    Fax or mail a copy of airbill to the attention of Michelle Miller. Purchasing will attach airbill to AUTHORIZATION TO PAY form. Fax to 3810 or mail to Box 10800.

Submit completed form and airbill copy to the Purchasing Department no later than (1) working day following shipment or charged delivery.

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