| Payment ID | 18180 |
|---|---|
| Date Created | 02/22/23 4:56 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 6507 |
| Authorization Number | |
| Applicant Information | |
| Name | EVA SLOVAK |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164000579 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Payment Amount | $250.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $255.00 |
| Receipt Date | 02/21/2023 |
| Comments | PET DEPOSIT PAID TO CROMWELL IN THE AMOUNT OF $250.00. BANK FEE OF $5.00 |
| Receipt | 21-02-2023SLOVAK255.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/22/2023 |
