Louisiana State University
Office of Accounting Services
Accounts Payable & Travel
217 Thomas Boyd Hall
PAYPAL/THIRD PARTY PROCESSOR TRANSACTION DOCUMENTATION & APPROVAL AS150
Request Date __________________________
Department
Contact
Phone Fax E-mail
Purchaser Information
Name
Address
City State Zip
Vendor Information
Vendor Name
Address
City State Zip
* A copy of the PayPal Transaction Detail must be attached.
I certify that the item(s) listed above is a legitimate University purchase.
Approval Signature Title Date
Employee
Supervisor
Description Quantity Unit Unit Price Total Price
Total *
Rev 6/16