| Payment ID | 86780 |
|---|---|
| Date Created | 01/13/25 2:17 pm |
| Created By | Gloria Jimenez |
| Service Request | 86027 |
| Application ID | 83640 |
| Authorization Number | 224603 |
| Applicant Information | |
| Name | Carlton Turner |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171004042 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $40.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 01/13/2025 |
| Comments | Bus Pass delivered to WHA office |
| Receipt | 86780-Turner.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/13/2025 |
