| Payment ID | 40504 |
|---|---|
| Date Created | 09/26/23 4:44 pm |
| Created By | Gloria Jimenez |
| Service Request | 39405 |
| Application ID | 19316 |
| Authorization Number | 222581 |
| Applicant Information | |
| Name | Tinequa Hutchinson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401366 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $160.00 |
| Receipt Amount | $160.00 |
| Receipt Date | 09/25/2023 |
| Comments | bus passes for client and 3 children |
| Receipt | 40504-Hutchinson.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/26/2023 |
