| Payment ID | 12293 |
|---|---|
| Date Created | 11/23/22 10:28 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 10825 |
| Authorization Number | |
| Applicant Information | |
| Name | Pamela Jackson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 08269300875 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Receipt Amount | $351.52 |
| Receipt Date | 11/22/2022 |
| Comments | city of Wortham water paid. deposit is $338.00 plus $13.52 conv. fee |
| Receipt | 22-11-2022Jackson351.52.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/23/2022 |
