Automatic Funds Transfer Approval

Attention Accounts Receivable Department

I am giving approval to United Supply Company to transfer funds from the financial institution that I have previously designated in order to make payments on the following work orders and/or invoices. United Supply Company must have an original signed Automatic Fund Transfer Authorization Agreement on file to transfer funds.
Work Order(s)(Required)
Work Order

MM slash DD slash YYYY
Authorized Person(Required)
Upon receipt of this approval funds will be processed immediately.