| Payment ID | 11987 |
|---|---|
| Date Created | 11/21/22 12:31 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 9209 |
| Authorization Number | |
| Applicant Information | |
| Name | Tommy Bandy |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100746 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $45.00 |
| Receipt Date | 11/18/2022 |
| Comments | application fee for Cromwell Properties |
| Receipt | 18-11-2022Bandy45.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/21/2022 |
