| Payment ID | 1664 |
|---|---|
| Date Created | 06/07/22 11:58 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 371 |
| Authorization Number | |
| Applicant Information | |
| Name | Natalie Mcclure |
| Unique Identifier | 16170400039 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Receipt Amount | $175.00 |
| Receipt Date | 06/07/2022 |
| Comments | funds for electric deposit |
| Staff Name | Deborah Green |
| Staff Signature | |
| Verifier Name | Gloria JImenez |
| Verifier Signature | |
| Date Verified | 06/07/2022 |
