| Payment ID | 30367 |
|---|---|
| Date Created | 06/22/23 3:00 pm |
| Created By | Gloria Jimenez |
| Service Request | 30353 |
| Application ID | 23149 |
| Authorization Number | 222034 |
| Applicant Information | |
| Name | Secret Hicks |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701545 |
| Payment Type | Homelessness |
| Type of Service Request | Moving Fees |
| Payment Details | |
| Payment Amount | $0.00 |
| Receipt Amount | $325.00 |
| Receipt Date | 06/21/2023 |
| Comments | moving fees for donated Baylor furnishing |
| Receipt | 30367-Hicks.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/22/2023 |
