| Payment ID | 12129 |
|---|---|
| Date Created | 11/22/22 10:02 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 213 |
| Authorization Number | |
| Applicant Information | |
| Name | Martina Reed |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700024 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,513.00 |
| Receipt Date | 11/21/2022 |
| Comments | hotel stay at Super 8 paid departure date is 11/30/2022 |
| Receipt | 21-11-2022Reed1513.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/22/2022 |
