| Payment ID | 3064 |
|---|---|
| Date Created | 06/27/22 9:17 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 569 |
| Authorization Number | |
| Applicant Information | |
| Name | Michael Cimiano |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170100080 |
| Payment Type | Homelessness |
| Payment Details | |
| Receipt Amount | $206.82 |
| Receipt Date | 05/26/2022 |
| Comments | Walmart shopping |
| Receipt | 3064-Cimiano.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | YS |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/26/2022 |
