| Payment ID | 16078 |
|---|---|
| Date Created | 01/25/23 4:18 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 5781 |
| Authorization Number | |
| Applicant Information | |
| Name | Veronica Hernandez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800537 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Payment Amount | $45.00 |
| Bank Fees | Yes |
| Fee Amount | $1.00 |
| Receipt Amount | $46.00 |
| Receipt Date | 01/19/2023 |
| Comments | application fee to CIF |
| Receipt | Hernandez46.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/25/2023 |
