| Payment ID | 100747 |
|---|---|
| Date Created | 04/09/25 3:07 pm |
| Created By | Gloria Jimenez |
| Service Request | 99577 |
| Application ID | 77341 |
| Authorization Number | 225567 |
| Applicant Information | |
| Name | Shayla White |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170603730 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Bluebonnet Properties |
| Provider Contact Person | Amber Raborn |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 776-3098 |
| Address of Client Unit | 10216 Lilac Lane Waco, Texas 76708 Map It |
| Address for Payment | 2012 Lake Air Drive Suite D Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | No |
| Receipt Amount | $1,205.00 |
| Receipt Date | 04/08/2025 |
| Comments | security deposit paid to Bluebonnet Properties |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/09/2025 |
