| Payment ID | 33753 |
|---|---|
| Date Created | 07/18/23 11:17 am |
| Created By | Gloria Jimenez |
| Service Request | 32040 |
| Application ID | 28365 |
| Authorization Number | 222153 |
| Applicant Information | |
| Name | Niya Barron |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001800 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $40.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 07/17/2023 |
| Comments | bus pass |
| Receipt | 33753-Barron.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/18/2023 |
