| Payment ID | 3332 |
|---|---|
| Date Created | 06/30/22 8:46 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1966 |
| Authorization Number | |
| Applicant Information | |
| Name | Ronny Freeman |
| Agency Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500214 |
| Payment Type | Transportation |
| Payment Details | |
| Receipt Amount | $40.00 |
| Receipt Date | 06/13/2022 |
| Comments | Waco Transit bus pass |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/14/2022 |
