| Payment ID | 12599 |
|---|---|
| Date Created | 11/29/22 5:39 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 7986 |
| Authorization Number | |
| Applicant Information | |
| Name | Kainbrell Brown |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000650 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $45.00 |
| Receipt Date | 11/29/2022 |
| Comments | application fee to Cromwell paid on 11/29/22 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/29/2022 |
