| Payment ID | 16403 |
|---|---|
| Date Created | 01/28/23 5:43 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 8997 |
| Authorization Number | |
| Applicant Information | |
| Name | Jocelynn Tompkins |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400729 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Payment Amount | $350.00 |
| Receipt Amount | $350.00 |
| Receipt Date | 01/26/2023 |
| Comments | deposit for Gexa Energy |
| Receipt | 26-01-2023Tompkins350.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/28/2023 |
