| Payment ID | 12568 |
|---|---|
| Date Created | 11/29/22 4:36 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 10228 |
| Authorization Number | |
| Applicant Information | |
| Name | Shayla Sterling |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16100849 |
| Payment Type | Moving Fees |
| Payment Details | |
| Receipt Amount | $600.00 |
| Receipt Date | 11/29/2022 |
| Comments | moving fees to Al's Moving Co. paid on 11/29/2022 |
| Receipt | 29-11-2022Sterling600.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/29/2022 |
