| Payment ID | 42776 |
|---|---|
| Date Created | 10/23/23 4:08 pm |
| Created By | Gloria Jimenez |
| Service Request | 1 |
| Application ID | 0 |
| Authorization Number | |
| Applicant Information | |
| Name | Furniture Tracking |
| Unique Identifier | 99999999999 |
| Payment Type | Homelessness |
| Payment Details | |
| Receipt Amount | $500.00 |
| Receipt Date | 10/24/2023 |
| Comments | payment made to Al's Moving Company for storage cleaning |
| Receipt | |
| Staff Name | Gloria |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/23/2023 |
