| First | Sharon |
|---|---|
| Last | Bennett |
| Date | 08/08/2017 |
| Email hidden; Javascript is required. | |
| Phone | (800) 653-7893 |
| Make Check Payable to | Liberty Mutual Insurance |
| Amount | $1,729.00 |
| Attach Receipt(s) |  |
| Mailing/Delivery Instructions | Please include account number on check: 3361818-0000 |
| Purpose | Insurance - worker's comp renewal |
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. | |
| For HSA Treasurer Only | |
| Status of approval: |
|