| Payment ID | 14121 |
|---|---|
| Date Created | 12/19/22 12:57 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 634 |
| Authorization Number | |
| Applicant Information | |
| Name | Raydrien Lilly |
| 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 | 16170100094 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $540.00 |
| Receipt Date | 12/13/2022 |
| Comments | security deposit made to Campus Realty |
| Receipt | 13-12-2022Lilly540.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/19/2022 |
