| Payment ID | 9635 |
|---|---|
| Date Created | 10/13/22 1:44 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1697 |
| Authorization Number | |
| Applicant Information | |
| Name | Marquita Lang |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000185 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Payment Details | |
| Receipt Amount | $1,342.50 |
| Receipt Date | 10/13/2022 |
| Comments | security deposit to Cromwell. 2 money orders one was for $1000.00 and the other was for $342.50 |
| Receipt | 9635-Lang.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/13/2022 |
