T
Buyer's Org
Number /
Account Code
(Debit)
Buyer's Org Name
(please print)
$ Amount
Seller's Org
Number /
Account Code
(Credit)
Seller's Org Name
(please print)
FGITRND
or SSB
Detail
Attached
?
1 Yes / No
2 Yes / No
3 Yes / No
4 Yes / No
5 Yes / No
6 Yes / No
7 Yes / No
8 Yes / No
9 Yes / No
10 Yes / No
Buyer (Debit) Org Owner Printed Name Seller (Credit) Org Owner Printed Name
Buyer (Debit) Org Owner Signature Date
Seller (Credit) Org Owner Signature
Date
IMPORTANT:
Authorizing signatures must have appropriate dollar authority to approve the transfer requested above.
If cost is currently in Banner, Attach:
FGITRND (INB) or Self Service Banner (SSB) printout showing the current org and account number posting of the item, before the transfer,
AND a copy of the invoice or other appropriate backup supporting the transaction.
Other information you would like to provide about this transfer:
Route Original with signatures and backup to Business Services, Campus Box 16. Retain copies as needed.
Interdepartmental Invoice/Transfer Authorization
IDI #
Add unique code above: 2 initials of seller plus
date YYMMDD or other unique numbering
Vendor Name/Item
To be Transferred/Invoiced
Missing or incomplete backup will delay transaction posting time.
Additional Approvals: Grant Approval __________ Date
__________ Travel Approval___________ Date ____________
Business Services reserves the right to correct coding as necessary.
Revised January 2014