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STATE OF HAWAII <br />DOH <br />(HEER) HAZARDOUS EVALUATION AND EMERGENCY RESPONSE OFFICE <br />JOURNAL VOUCHER REMITTANCE FOR HEPCRA FEE: <br />Please use the numbers below for the TIER II PAYMENT <br />SFX <br />TC <br />F <br />YR <br />APP <br />D <br />ALLOT <br />CAT <br />SOURCE/ <br />OBJECT <br />COST <br />CENTER <br />PROJ. NO DEPT <br />G/L <br />ACCT <br />SIL <br />ACCT <br />REFERENCE DOC <br />AMOUNT <br />NUMBER <br />PH ACT <br />NUMBER <br />SFX <br />XX <br />XXX <br />X <br />XX <br />XXX <br />XX <br />XX <br />XXXX <br />XXXX <br />XXXXXX <br />XX XXX <br />XXX <br />C(XXX> <br />XXXXXXXX <br />XX <br />XXXXX <br />XX <br />01 <br />805 <br />S <br />342 <br />H <br />1115 <br />000338 <br />00 371 <br />100 <br />00 <br />SAMPLE JOURNAL VOUCHER <br />For State Agencies Only <br />NAME OF FACILITY SHOULD BE INCLUDED IN EXPLANATION BOX. <br />Questions can be directed to: sharon.leonida@doh.hawaii.com <br />