| Payment ID | 758 |
|---|---|
| Date Created | 05/20/22 2:32 pm |
| Created By | Yoli |
| Service Request | |
| Application ID | 565 |
| Authorization Number | |
| Applicant Information | |
| Name | Dezir Bradshaw |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170100078 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $300.00 |
| Receipt Date | 05/17/2022 |
| Comments | D Bradshaw was initially set to share a room with Client A Talley so they could split the deposit for their room. However, Ms. Talley abused the rules of the program and the hotel so she was asked to leave the same evening. Therefore, the full expense of the deposit is shown for D. Bradshaw. |
| Staff Name | Yolanda Salazar |
| Staff Signature | |
| Verifier Name | Melvin Collins Jr |
| Verifier Signature | |
| Date Verified | 05/17/2022 |
