| Payment ID | 1967 |
|---|---|
| Date Created | 06/13/22 11:36 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1779 |
| Authorization Number | |
| Applicant Information | |
| Name | Enedelia Rivera |
| Agency Name | Housing Authorities |
| Agency Code | 220401 |
| Agency | Housing Authorities |
| Agency Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600194 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,984.00 |
| Receipt Date | 06/13/2022 |
| Comments | month stay at Studio 6 for Enedina Rivera. Motel quoted $1984.00 |
| Staff Name | melvin Collins, Jr |
| Staff Signature | |
| Verifier Name | Gloria JImenez |
| Verifier Signature | |
| Date Verified | 06/13/2022 |
