| Payment ID | 11294 |
|---|---|
| Date Created | 11/08/22 2:17 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 10400 |
| Authorization Number | |
| Applicant Information | |
| Name | Jennifer Rodriguez |
| Agency Name | ISD |
| Agency Code | 220501 |
| Agency | ISD |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600856 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $495.00 |
| Receipt Date | 11/07/2022 |
| Comments | security deposit to Cromwell, this is the 2nd money order. Total deposit is $1495.00 |
| Receipt | 07-11-2022-16170600856-Rodriguez-495.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/08/2022 |
