20150417 Ver 1_Fee Received_20150717

GEI Consultants, Inc. • Woburn, MA 01801 • (781) 721 -4000 i PLEASE DETACH AND RETAIN FOR YOUR RECORDS i
Account Number: N10252 Check No. 716640
Invoice Number Invoice Date Voucher No. Amount
PERMIT FEE 6/24/2015 187530 240.00
TOTAL;
Llp�
716640 Cdj Eastern Mnk
LYNN MASSACHUSETTS 01901
716640
GEIConsuitants
400 Unicorn Park Drive
Woburn, MA 01801 6130/2015
240.00
PAY * *# *! * * # * * * * * * * * * * * #* * * * ** *240 DOLLARS AND * * * * * * * * ** *DOCENTS * * * * * * * * * * * * ** *240.00
at -� ;' ..
TO THE
NC DIVISION OF WATER QUALITY �l
NC DWQ, WBSCP UNIT - AUTHORIZED SIGNATURE
ORDER 512 NORTH SALISBURY STREET
RALEIGH, NC 27604 US
SECOND SIGNATURE REQUIRED IF OVER $25,000.00
II' 7 1664011' i:0 1 1 30 L 7981: 60 0 2 4894 20
53-179
113
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