| Payment ID | 67795 |
|---|---|
| Date Created | 05/30/24 4:18 pm |
| Created By | Gloria Jimenez |
| Service Request | 67743 |
| Application ID | 23260 |
| Authorization Number | 223883 |
| Applicant Information | |
| Name | Darlina Sterling |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601552 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $40.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 05/30/2024 |
| Comments | Deliver bus pass to the Super 8 University front desk |
| Receipt | 67795-Sterling.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2024 |
