| Payment ID | 3671 |
|---|---|
| Date Created | 07/07/22 11:33 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1736 |
| Authorization Number | |
| Applicant Information | |
| Name | Deosha Wilson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600189 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $419.95 |
| Receipt Date | 06/29/2022 |
| Comments | security deposit made to Circle @18 |
| Staff Name | Gloria Jimenez |
| Case Manager | CC |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/29/2022 |
