| Payment ID | 6749 |
|---|---|
| Date Created | 08/29/22 12:12 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 6139 |
| Authorization Number | |
| Applicant Information | |
| Name | Nyanpal Top |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170100545 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $2,370.00 |
| Receipt Date | 08/23/2022 |
| Comments | hotel stay at Super 8 arrival 8/18/22 through 9/17/2022 |
| Receipt | 6749-Top.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/29/2022 |
