Southeastern Louisiana University

Authorization to Pay Federal Express Charges

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Authorization To Pay Federal Express Charges

Fields marked with an * are required.

Shipping Notification:

- Date Shipped/Received:* Ex: 8/26/09
- 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: 8/26/09

Affirmation of Receipt

I certify the Federal Express service provided has been performed satisfactorily:
- Shipper/Receiver Name:*
- Shipper/Receiver Email Address:*

Note: Fax or mail a copy of airbill to the Purchasing Department. 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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Receiving Department

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