| Payment ID | 82884 |
|---|---|
| Date Created | 12/20/24 8:43 am |
| Created By | Gloria Jimenez |
| Service Request | 82483 |
| Application ID | 82091 |
| Authorization Number | 224475 |
| Applicant Information | |
| Name | James Huff |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170603793 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $40.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 12/19/2024 |
| Comments | Bus pass delivered to Super 8 |
| Receipt | 82884-Huff.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/20/2024 |
