| Payment ID | 8030 |
|---|---|
| Date Created | 09/13/22 11:23 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 4790 |
| Authorization Number | |
| Applicant Information | |
| Name | Sandra Taylor |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000441 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Payment Details | |
| Receipt Amount | $137.50 |
| Receipt Date | 09/01/2022 |
| Comments | utility deposit paid |
| Receipt | 8030-Taylor.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/13/2022 |
