| First | Sharon |
|---|---|
| Last | Bennett |
| Date | 11/22/2017 |
| Email hidden; Javascript is required. | |
| Phone | (202) 966-2366 |
| Address | 3721 Alton Place NW Washington, District of Columbia 20016 Map It |
| Make Check Payable to | Liberty Mutual Insurance |
| Amount | $1,457.00 |
| Attach Receipt(s) |  |
| Mailing/Delivery Instructions | Add Account No. to check: 3-361818-0000 Liberty Mutual Insurance |
| Purpose | Insurance - worker's comp additional premium |
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: |
|