FirstKaren
LastLevy
Date05/04/2019
EmailEmail hidden; Javascript is required.
Phone(240) 876-2612
Address13 Benridge court
Potomac, Maryland 20854
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Make Check Payable toKaren Levy
Amount$100.00
Attach Receipt(s)Invoice-2.pdf
Mailing/Delivery Instructions

$100 deposit for 5th grade event

PurposeEnd-of-year activity
HSA Budget Category5th Grade Promotion

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