FirstKimberley
LastDresbach
Date11/19/2020
EmailEmail hidden; Javascript is required.
Phone(202) 282-0130
Address2617 East-West Highway
Chevy Chase, Maryland 20815
Map It
Make Check Payable toKimberley Dresbach
Amount$100.00
Attach Receipt(s)Doc-Nov-18-2020-18571.pdf
Mailing/Delivery Instructions

Please mail check to my home address (above).

PurposeReimbursement for purchases of 2 Safeway Gift Cards to support 2 families in the ELS K-2 Program.
HSA Budget CategoryScholarships

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