| Payment ID | 8394 |
|---|---|
| Date Created | 09/20/22 10:14 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 4615 |
| Authorization Number | |
| Applicant Information | |
| Name | Brenda Eary |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500430 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $743.95 |
| Receipt Date | 09/19/2022 |
| Comments | extended stay at Motel 6 departure date is 9/29/22 |
| Receipt | 8394-Eary.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/20/2022 |
