| Payment ID | 1719 |
|---|---|
| Date Created | 06/08/22 10:21 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 480 |
| Authorization Number | |
| Applicant Information | |
| Name | PENNIE NELSON |
| Agency Name | Unknown |
| Unique Identifier | 16170500070 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Receipt Amount | $262.50 |
| Receipt Date | 06/08/2022 |
| Comments | deposit for water. City of Waco account #223824-173509 |
| Staff Name | Deborah Green |
| Staff Signature | |
| Verifier Name | Gloria JImenez |
| Verifier Signature | |
| Date Verified | 06/08/2022 |
