| Payment ID | 18624 |
|---|---|
| Date Created | 02/28/23 9:47 am |
| Created By | Gloria Jimenez |
| Service Request | 17785 |
| Application ID | 5781 |
| Authorization Number | |
| Applicant Information | |
| Name | Veronica Hernandez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800537 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Payment Details | |
| Payment Amount | -$250.00 |
| Bank Fees | Yes |
| Fee Amount | $1.00 |
| Receipt Amount | -$249.00 |
| Receipt Date | 02/21/2023 |
| Comments | refund on pet deposit to Shamrock, check was voided |
| Receipt | 21-02-2023Hernandez-249.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/28/2023 |
