| Payment ID | 29244 |
|---|---|
| Date Created | 06/13/23 4:47 pm |
| Created By | Gloria Jimenez |
| Service Request | 1 |
| Application ID | 0 |
| Authorization Number | |
| Applicant Information | |
| Name | Furniture Tracking |
| Unique Identifier | 99999999999 |
| Payment Type | Homelessness |
| Payment Details | |
| Receipt Amount | $1,150.00 |
| Receipt Date | 06/01/2023 |
| Comments | storage payment to Store Space Waco |
| Receipt | 29244-Tracking.pdf |
| Staff Name | Gloria Jimenez |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/13/2023 |
