| Payment ID | 757 |
|---|---|
| Date Created | 05/20/22 2:28 pm |
| Created By | Yoli |
| Service Request | |
| Application ID | 650 |
| Authorization Number | |
| Applicant Information | |
| Name | Jessica Perez |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170100099 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $2,780.37 |
| Receipt Date | 05/18/2022 |
| Receipt | 757-Perez.pdf |
| Staff Name | Yolanda Salazar |
| Staff Signature | |
| Verifier Name | Melvin Collins Jr |
| Verifier Signature | |
| Date Verified | 05/18/2022 |
