| Payment ID | 14182 |
|---|---|
| Date Created | 12/19/22 3:51 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 7986 |
| Authorization Number | |
| Applicant Information | |
| Name | Kainbrell Brown |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000650 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,157.00 |
| Receipt Date | 12/16/2022 |
| Comments | hotel stay at Super 8 departure date is 01/02/23 |
| Receipt | 16-12-2022Brown1157.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/19/2022 |
