| Payment ID | 4933 |
|---|---|
| Date Created | 08/01/22 9:00 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 2872 |
| Authorization Number | |
| Applicant Information | |
| Name | Willie Jackson |
| Agency Name | Caritas |
| Agency Code | 220209 |
| Agency | Caritas |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171200277 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $90.00 |
| Receipt Date | 07/28/2022 |
| Comments | security deposit made to Cromwell Properties |
| Receipt | 28-07-2022Jackson90.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/01/2022 |
