| Payment ID | 1671 |
|---|---|
| Date Created | 06/07/22 12:35 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 480 |
| Authorization Number | |
| Applicant Information | |
| Name | PENNIE NELSON |
| Agency Name | Unknown |
| Unique Identifier | 16170500070 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $760.00 |
| Receipt Date | 06/02/2022 |
| Comments | security deposit to Myron Burley |
| Staff Name | Deborah Green |
| Staff Signature | |
| Verifier Name | Gloria JImenez |
| Verifier Signature | |
| Date Verified | 06/07/2022 |
