Fillable Expense Card Monthly Billing Exception Form (Florida Polytechnic University)

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Expense Card Monthly Billing Exception Form (Florida Polytechnic University)

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Rev 1- 5/31/2017
FLORIDA POLYTECHNIC UNIVERSITY PROCUREMENT DEPARTMENT
Expense Card Monthly Billing Exception Form
Supplier Name
Amount
Department Name
Expense Card Holder
Monthly or one-time
PURPOSE OF EXPENSE:
JUSTIFICATION: (Provide reason(s) for circumventing routine purchasing procedures)
EXCEPTION PURCHASES: Except as otherwise delegated in the Purchasing Manual, only the Purchasing
Department is authorized to grant permission to use expense cards for certain monthly expenses.
The Using Department is responsible for ensuring the funds are available in their budget for the reoccurring
monthly expense.
___________________________ ___________________
Authorized Signature Date
___________________________ ____________________
Procurement Signature Date
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Expense Card Monthly Billing Exception Form (Florida Polytechnic University)

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Completed 15 August 2020

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