| Payment ID | 13061 |
|---|---|
| Date Created | 12/05/22 1:16 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 6401 |
| Authorization Number | |
| Applicant Information | |
| Name | Cosheanna Robinson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400566 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Receipt Amount | $260.00 |
| Receipt Date | 12/05/2022 |
| Comments | utility deposit to Ambit |
| Receipt | 05-12-2022Robinson260.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/05/2022 |
