| Payment ID | 18700 |
|---|---|
| Date Created | 02/28/23 2:18 pm |
| Created By | Gloria Jimenez |
| Service Request | 14175 |
| Application ID | 4289 |
| Authorization Number | |
| Applicant Information | |
| Name | Sonia Ford |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600406 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Al’s Moving Company |
| Payment Details | |
| Payment Amount | $525.00 |
| Receipt Amount | $525.00 |
| Receipt Date | 02/27/2023 |
| Comments | moving fee |
| Receipt | 27-02-2023Ford525.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/28/2023 |
