| Payment ID | 12518 |
|---|---|
| Date Created | 11/29/22 12:21 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 10317 |
| Authorization Number | |
| Applicant Information | |
| Name | LaToya Foster |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171200852 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Receipt Amount | $350.00 |
| Receipt Date | 11/28/2022 |
| Comments | electric deposit paid to champion energy paid on 11/28/2022 |
| Receipt | 28-11-2022Foster350.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/29/2022 |
