| Payment ID | 15231 |
|---|---|
| Date Created | 01/10/23 11:53 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 7088 |
| Authorization Number | |
| Applicant Information | |
| Name | Jynishia Degrate |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400593 |
| Payment Type | Moving Fees |
| Payment Details | |
| Payment Amount | $478.95 |
| Bank Fees | No |
| Receipt Amount | $478.95 |
| Receipt Date | 01/10/2023 |
| Comments | moving fee from Guerra Bros. |
| Receipt | 10-01-2023Degrate478.95.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/10/2023 |
