| Payment ID | 3189 |
|---|---|
| Date Created | 06/28/22 11:07 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 437 |
| Authorization Number | |
| Applicant Information | |
| Name | Nathan Blankenship |
| Agency Name | Unknown |
| Unique Identifier | 16170800056 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $600.00 |
| Receipt Date | 06/24/2022 |
| Comments | apartment deposit to Brentwood Properties |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/24/2022 |
