| Payment ID | 3113 |
|---|---|
| Date Created | 06/27/22 2:19 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1062 |
| Authorization Number | |
| Applicant Information | |
| Name | Alfred Von Theumer |
| Unique Identifier | 16170100134 |
| Payment Type | Homelessness |
| Payment Details | |
| Receipt Amount | $239.12 |
| Receipt Date | 05/26/2022 |
| Comments | Walmart shopping |
| Receipt | 3113-Von-Theumer.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/26/2022 |
