Ms Angela Whyte Finance Department Business Services organisation 2nd Floor, 12-22 Linenhall Street Belfast BT2 8BS	Mr Eddie Rooney Chief Executive Public Health Agency 18 Ormeau Avenue Belfast BT2 8HS Tel: 028 9031 1611 Fax: 028 9031 1711 Website:www.publichealth.hscni.net

<Insert Date>

Dear Angela

Authorisation of Payment

I would appreciate if the following payment could be processed.

Organisation:

Project Title:

Amount: < insert amount to be paid >

Cost Centre: <use legacy cost centre number if known or contact finance>

Period of payment : < insert time period for which the payment relates>

PHA Contact Person: <insert programme budget holder name and tel no>

Bank Payment Details

Name of Bank	-

Account Number	-

Sort Code	-

I confirm that the organisation has submitted satisfactory monitoring returns and the project is on track to deliver the outputs agreed in the contractual agreement.

Thank you for your assistance in this matter

Yours sincerely

< Authorised signatory>