FirstJen
LastStark
Date07/06/2021
EmailEmail hidden; Javascript is required.
Phone(202) 966-4270
AddressPO Box 6356
Washington, District of Columbia 20015
Map It
Make Check Payable toLauren Miller
Amount$150.00
Mailing/Delivery Instructions

Please mail to:

Lauren Miller
3003 Van Ness St. NW
Apt. S816
Washington, DC 20008

PurposeEnd of Year Gift
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