| Payment ID | 37403 |
|---|---|
| Date Created | 08/16/23 1:35 pm |
| Created By | Gloria Jimenez |
| Service Request | 36802 |
| Application ID | 22040 |
| Authorization Number | 222444 |
| Applicant Information | |
| Name | Shirl Session |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701500 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $40.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 08/15/2023 |
| Comments | bus pass |
| Receipt | 37403-Session.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/16/2023 |
