Requisition Draft
SPA No. Account FOPAL Special Payment Authorization Page of SPA Date Account Index No SPA
Fiscal Year Requestor Name: E-Mail SPA Vendor Number (if Vendor Name Mandatory Attachment
known) (Y/N) (Y/N)
Requestor Dept Phone Fax address
Internal Delivery Address Required Date: city state zip
country (if not USA)
Quote Number Quoted by ( Name ) Quote Date
Line Required Quantity Unit Cmod Vendor Part No. Unit Discount Total No. Date of Code Description/Comments Price Factor
Meas. Line Distribution Accounting
NOTES:
Total Amount
Departmental Approval: ____________________________________
The Special Payment Authorization form must be completed approved and all necessary attachments needed to facilitate the process scanned and attached before the Budgetary Approver can attach to email and forward to the Accounts Payable department. The SPA will not be processed until all necessary back-up documentation is received in Accounts Payable.
Once the email with attachments is received a confirmation email will be sent back to the Budgetary Approver, stating they have
24 hour to stop the processing of payment for the related services.
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