LSJE, LLC 6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348 Phone: -mail: Check Request Form Date of Request: 11/29/18 Amount Requested: $1,249.96 Payee: Lire Kingdom Payee Address: Payee Contact: ❑ Check box if GL coding is split Invoice NJMemo: Sales Receipt 85364 GL Description: 1 GL Code: GL Amount: 50.00 I GL Memo: lire Replacement 07/11/18 Invoice NJMemo: Sales Receipt 85497 GL Description: Denali - TWA GL Code: 60314c GL Amount: $1,199.96 GL Memo: x 4 New Tires - 2015 Denali (TWA) - Larry Request ❑ Check box if additional pages are included Other Notes/ Instructions: Date Approved by Manager: 111/29/18 Manager Signature: EFTA01223453
