| Payment ID | 15924 |
|---|---|
| Date Created | 01/24/23 11:50 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 12546 |
| Authorization Number | |
| Applicant Information | |
| Name | Angela Martinez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800989 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Payment Amount | $40.00 |
| Bank Fees | Yes |
| Fee Amount | $0.69 |
| Receipt Amount | $40.69 |
| Receipt Date | 01/11/2023 |
| Comments | application fee to Carbajal Realty for $40.00 by money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/24/2023 |
