EFTA01223464.pdf

Empityse Lipp Itrquest Date: 11/13/18 JAN 11 2019 Company Name and Address: LSJE, LLC 6100 Red Hook Quarter 133 St Thomas USVI 00802 Employee Name and Address: Gerry Titre Employed - 08/27/01 1. The Employee hereby acknowledges a debt to the Company in the amount of Five Thousand Dollars ($5,000.00) for the following reason(s): Would like to purchase a new vehicle from the States, to replace his existing vehicle 2. The Employee hereby authorizes the Company to deduct the amount of Two Hundred Dollars ($200.00) per pay check, until the balance is paid in full. If Employee has available funds he would request if he could pay more per pay check 3. The Employee further agrees that the entire outstanding amount will be deducted from the Employee's paycheck upon resignation or termination of employment with the Company. Signed in the month of February on the 14th day of 2019. Employee's Signature: lAXI14/r Printed Name: Gerry Titre Company Signature: Printed Name: Stephanie L Remington Copyright O 2015 FreeDownloads.net. All Rights Reserved. EFTA01223464