FirstElisa
LastO'Keefe
Date02/25/2019
EmailEmail hidden; Javascript is required.
Phone(202) 365-0919
Address4618 Reno Rd NW
WASHINGTON, District of Columbia 20008
Map It
Make Check Payable toElisa O'Keefe
Amount$220.00
Attach Receipt(s)Receipt-Feb-7-2019-11-40-AM.pdf
Mailing/Delivery Instructions

Please mail to my home address.

PurposeTalent Show Tips and Cash Drawer Money (money was mistakenly taken from personal Wells Fargo account instead of HSA account)
HSA Budget CategoryCommunity Events

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