| Payment ID | 15912 |
|---|---|
| Date Created | 01/24/23 11:04 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 3055 |
| Authorization Number | |
| Applicant Information | |
| Name | Jamaica Rhodes |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000294 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Payment Amount | $55.00 |
| Bank Fees | Yes |
| Fee Amount | $1.00 |
| Receipt Amount | $56.00 |
| Receipt Date | 01/10/2023 |
| Comments | money order for app fee to Glen Oaks |
| Receipt | 10-01-2023Rhodes56.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/24/2023 |
