| Payment ID | 13564 |
|---|---|
| Date Created | 12/12/22 12:27 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 9367 |
| Authorization Number | |
| Applicant Information | |
| Name | Bethany Maricle-Hicks |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500765 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,225.00 |
| Receipt Date | 12/09/2022 |
| Comments | hotel stay at Super 8 departure date is 12/20/2022 |
| Receipt | 09-12-2022Maricle-Hicks1225.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/12/2022 |
