LSJE, LLC 6100 Red Hook uarters, Suite B-3, St. Thomas, VI 00802-1348 Phone E-mail: Check Request Form Date of Request: 12/13/18 Amount Requested: $23.00 Payee: 'Ocean Systems Laboratory, Inc Payee Contact: Payee Address: ❑ Check box if GL coding is split Invoice NJMemo: 12°3431 GL Description: RO GL Code: 0170g GL Amount: 23.00 i GL Memo: Sample Water Tested - LSJ Invoice N./Memo: GL Description: GL Code: GL Amount: GL Memo: ❑ Check box if additional pages are included Other Notes/ Instructions: L ttached results. Date Approved by Manager: 112/13/18 Manager Signature: EFTA01223376