| Payment ID | 15296 |
|---|---|
| Date Created | 01/11/23 9:03 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 13593 |
| Authorization Number | |
| Applicant Information | |
| Name | Latira Long |
| Agency Name | The Cove |
| Agency Code | 220204 |
| Agency | The Cove |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16101046 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | Yes |
| Fee Amount | $1.00 |
| Receipt Amount | $51.00 |
| Receipt Date | 01/04/2023 |
| Comments | application fee to Circle @1800 |
| Receipt | 04-01-2023Long49.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/11/2023 |
