| Payment ID | 75705 |
|---|---|
| Date Created | 09/04/24 9:37 am |
| Created By | Gloria Jimenez |
| Service Request | 75493 |
| Application ID | 69454 |
| Authorization Number | 224354 |
| Applicant Information | |
| Name | Jeff Naimo |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170403400 |
| Payment Type | Homelessness |
| Type of Service Request | Homelessness |
| Payment Details | |
| Payment Amount | $144.42 |
| Receipt Amount | $144.42 |
| Receipt Date | 09/03/2024 |
| Comments | payment made Payable to: |
| Receipt | 75705-Naimo.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/04/2024 |
