| Payment ID | 30285 |
|---|---|
| Date Created | 06/22/23 11:19 am |
| Created By | Gloria Jimenez |
| Service Request | 26586 |
| Application ID | 24475 |
| Authorization Number | |
| Applicant Information | |
| Name | Laquisha Brooks |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701594 |
| Payment Type | Homelessness |
| Type of Service Request | Moving Fees |
| Payment Details | |
| Payment Amount | $0.00 |
| Receipt Amount | $283.33 |
| Receipt Date | 06/21/2023 |
| Comments | moving fee for delivering donated furnisher |
| Receipt | 30285-Brooks.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/22/2023 |
