FirstPatty
LastSee
Date06/13/2017
EmailEmail hidden; Javascript is required.
Phone(202) 237-7089
Make Check Payable toPatty See
Amount$1,226.50
Attach Receipt(s)Attach Receipt(s)
Mailing/Delivery Instructions

Pls send the check to 3724 Alton Place, NW, WDC, 20016.

Thank you!

PurposeFifth Grade Memory Book
HSA Budget Category5th Grade Memory Book

Operating expenses must be approved by an HSA Co-President. Committee-related expenses (e.g. Auction, Green Scene) must be approved by the committee chair. Resource teacher expenses must be approved by the Principal.
All receipts and/or supporting documents must be uploaded with or attached to this form.

For HSA Treasurer Only
Status of approval:
  • Approved