| Payment ID | 69848 |
|---|---|
| Date Created | 06/25/24 2:30 pm |
| Created By | Gloria Jimenez |
| Service Request | 69277 |
| Application ID | 48072 |
| Authorization Number | 223989 |
| Applicant Information | |
| Name | Veronica Sierra |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164002728 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $40.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 06/25/2024 |
| Comments | Delivered bus pass to the Waco Housing Authority Office on Cobbs Dr in Waco. |
| Receipt | 69848-Sierra.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/25/2024 |
