| Payment ID | 3137 |
|---|---|
| Date Created | 06/27/22 4:17 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 371 |
| Authorization Number | |
| Applicant Information | |
| Name | Natalie Mcclure |
| Unique Identifier | 16170400039 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Receipt Amount | $262.50 |
| Receipt Date | 06/09/2022 |
| Comments | water deposit |
| Staff Name | Gloria Jimenez |
| Case Manager | YS |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/09/2022 |
