| Payment ID | 100750 |
|---|---|
| Date Created | 04/09/25 3:14 pm |
| Created By | Gloria Jimenez |
| Service Request | 99844 |
| Application ID | 86708 |
| Authorization Number | 225610 |
| Applicant Information | |
| Name | LaTavia Sanders |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170504221 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | The Midway |
| Provider Contact Person | Courtney Monroe |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 237-2272 |
| Address of Client Unit | 454 Owen Lane # 105 Waco, Texas 76710 Map It |
| Address for Payment | 416 Owen Lane Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $600.00 |
| Bank Fees | No |
| Receipt Amount | $605.00 |
| Receipt Date | 04/08/2025 |
| Comments | security deposit paid to The Midway |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/09/2025 |
