| Payment ID | 18033 |
|---|---|
| Date Created | 02/21/23 5:18 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 2756 |
| Authorization Number | |
| Applicant Information | |
| Name | Byron Allen |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100260 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $500.00 |
| Receipt Date | 02/08/2023 |
| Comments | hotel stay at the Viking Inn |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/21/2023 |
