| Payment ID | 14516 |
|---|---|
| Date Created | 12/30/22 10:51 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 14032 |
| Authorization Number | |
| Applicant Information | |
| Name | Mason Grayer |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501069 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $517.50 |
| Receipt Date | 12/20/2022 |
| Comments | hotel stay at Delta Inn |
| Receipt | 20-12-2022Grayer517.50.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/30/2022 |
