| Payment ID | 12804 |
|---|---|
| Date Created | 11/30/22 11:04 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 8150 |
| Authorization Number | |
| Applicant Information | |
| Name | Estella Sadler |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700662 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $691.11 |
| Receipt Date | 11/29/2022 |
| Comments | hotel stay at Super 8 departure date is 12/7/2022 |
| Receipt | 29-11-2022Sadler691.11.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/30/2022 |
