| Payment ID | 31338 |
|---|---|
| Date Created | 06/29/23 3:06 pm |
| Created By | Gloria Jimenez |
| Service Request | 31322 |
| Application ID | 30246 |
| Authorization Number | 222100 |
| Applicant Information | |
| Name | Marcos Yaun |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801906 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $90.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 06/29/2023 |
| Comments | bus pass |
| Receipt | 31338-Yaun.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | PD |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/29/2023 |
