| Payment ID | 39142 |
|---|---|
| Date Created | 09/06/23 12:44 pm |
| Created By | Gloria Jimenez |
| Service Request | 36002 |
| Application ID | 34303 |
| Authorization Number | 222403 |
| Applicant Information | |
| Name | Katie Rhea |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16154102097 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $90.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 08/11/2023 |
| Comments | bus pass |
| Receipt | 39142-Rhea.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/06/2023 |
