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EFTA01223393

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LSJE, LLC 6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348 Phone:-E-mail: Check Request Form Date of Request: Payee: Payee Contact: 11/29/18 t ic°Services, Inc E Check box if GL coding is split Amount Requested: Payee Address: $13,817.00 Invoice NJMemo: 113712 r r Conditioning Description: GL Code: 0155e GL Amount: 13,772.00 GL Memo: Parts and labor for service - 10/11/18 - 10/15/18 Install x 2 new 36K B111 High Efficiency Air Conditioners - RO - LSJ Invoice NJMemo: GL Description: GL Code: 113712 J Parking 0219 GL Amount: 5.00 CI Check box if additional pages are included Other Notes/ Instructions: Date Approved by Manager: 111/29/18 GL Memo: HY Parking 10/11/18 - 10/15/18 Manager Signature: EFTA01223393