| Payment ID | 17100 |
|---|---|
| Date Created | 02/08/23 10:46 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 7549 |
| Authorization Number | |
| Applicant Information | |
| Name | Antoinette Guajardo |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000615 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Payment Amount | -$40.00 |
| Bank Fees | No |
| Receipt Amount | -$40.00 |
| Receipt Date | 02/06/2023 |
| Comments | Refund for application fee made out to CIF |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/08/2023 |
