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: V irgin Islands Port Authority ❑ Check box if GL coding is split Invoice NJMemo: ust No GL Description: Dock & Mooring - Big N GL Code: 0253 GL Amount: Amount Requested: Payee Address GL Memo: Invoice N./Memo: GL Description: GL Code: GL Amount: GL Memo: ❑ Check box if additional pages are included Other Notes/ Instructions: Big N Date Approved by Manager: Manager Signature: EFTA01223458