| Payment ID | 31255 |
|---|---|
| Date Created | 06/29/23 10:53 am |
| 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 | $692.00 |
| Receipt Date | 06/01/2023 |
| Comments | storage unit Store Space unit 4261, 4259, 4258, 4257, 4256 |
| Receipt | 31255-Tracking.pdf |
| Staff Name | Gloria Jimenez |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/29/2023 |
