| Payment ID | 3670 |
|---|---|
| Date Created | 07/07/22 11:28 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 366 |
| Authorization Number | |
| Applicant Information | |
| Name | Teresa King |
| Agency Name | Unknown |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100038 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $109.72 |
| Receipt Date | 06/28/2022 |
| Comments | extension for Woodspring Suites paid on 6/28 |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/28/2022 |
