| Payment ID | 47957 |
|---|---|
| Date Created | 12/11/23 12:58 pm |
| Created By | Gloria Jimenez |
| Service Request | 47365 |
| Application ID | 45015 |
| Authorization Number | 223046 |
| Applicant Information | |
| Name | Crystal Cabell |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 14764202617 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $240.00 |
| Receipt Amount | $240.00 |
| Receipt Date | 12/11/2023 |
| Comments | bus passes for 6 delivered |
| Receipt | 47957-Cabell.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/11/2023 |
