| Payment ID | 879 |
|---|---|
| Date Created | 05/22/22 11:27 am |
| Created By | Yoli |
| Service Request | |
| Application ID | 142 |
| Authorization Number | |
| Applicant Information | |
| Name | Doris Mitchell |
| Agency Name | Housing Authorities |
| Agency Code | 220401 |
| Agency | Housing Authorities |
| Agency Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700002 |
| Payment Type | Transportation |
| Payment Details | |
| Receipt Amount | $5.06 |
| Receipt Date | 05/22/2022 |
| Comments | An UBER transportation was arranged for Ms. Mitchell. However, she left before the driver could get there. Thus, the cancelled $5.06 fee applied. |
| Receipt | 879-Mitchell.pdf |
| Staff Name | Yolanda Salazar |
| Staff Signature | |
| Verifier Name | Melvin Collins Jr |
| Verifier Signature | |
| Date Verified | 05/16/2022 |
