| Payment ID | 12825 |
|---|---|
| Date Created | 11/30/22 2:36 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 5378 |
| Authorization Number | |
| Applicant Information | |
| Name | Christopher Cline |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100496 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $600.69 |
| Receipt Date | 11/29/2022 |
| Comments | security deposit of $600 plus the 0.69 money order fee |
| Receipt | 29-11-2022Cline600.69.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/30/2022 |
