| Payment ID | 88858 |
|---|---|
| Date Created | 01/22/25 11:22 am |
| Created By | Gloria Jimenez |
| Service Request | 87119 |
| Application ID | 86326 |
| Authorization Number | 224664 |
| Applicant Information | |
| Name | Laurae Steele |
| 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 | 08269304206 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $80.00 |
| Receipt Amount | $80.00 |
| Receipt Date | 01/21/2025 |
| Comments | Bus passes delivered to Candlewood Suites |
| Receipt | 88858-Steele.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/22/2025 |
