Invoice Payment Authorization Form
Vendor Legal Name and Address
To be used
ONLY
when requesting payment for multiple invoices
that are to be
paid from the same PeopleSoft Account Number
.
You may staple the invoices to the back of this form.
PS Account
(6)
Fund
(3)
Dept ID
(7)
Project/Grant
(6)
Description: (max. 30 characters) Appears on financial reports, not on check stub
Invoice
Number
Invoice
Date
(mm/dd/yy)
Amount
Invoice
Number
Invoice
Date
(mm/dd/yy)
Amount
1
9
2
10
3
11
4
12
5
13
6
14
7
15
8
16
Prepared By:
(type/print)
Signature:_________________________________________
Authorized By:
(type/print)
Signature:_________________________________________