| Payment ID | 52682 |
|---|---|
| Date Created | 01/18/24 10:38 am |
| Created By | Gloria Jimenez |
| Service Request | 51756 |
| Application ID | 49402 |
| Authorization Number | 223191 |
| Applicant Information | |
| Name | Samantha Satchell |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802790 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $40.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 01/17/2024 |
| Comments | bus pass |
| Receipt | 52682-Satchell.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/18/2024 |
