FirstJustin
LastConnor
Date11/29/2021
EmailEmail hidden; Javascript is required.
Phone(202) 344-0239
Address3711 Cumberland St. NW
Washington, District of Columbia 20016
Map It
Make Check Payable toJustin Connor
Amount$87.78
Attach Receipt(s)Attach Receipt(s)
Mailing/Delivery Instructions

Fine to mail a check or also Venmo/PayPal, etc. are okay as well.

PurposeCoffee on the Playground
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