| Payment ID | 103996 |
|---|---|
| Date Created | 04/28/25 9:24 am |
| Created By | Gloria Jimenez |
| Service Request | 94922 |
| Application ID | 75235 |
| Authorization Number | 225218 |
| Applicant Information | |
| Name | Kasey Erler |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16163803647 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | Bruceville-Eddy Water Supply |
| Provider Email | Email hidden; Javascript is required. |
| Address of Client Unit | 611 4th St. Eddy, Texas 76524 Map It |
| Address for Payment | 144 Wilcox Dr. Eddy, Texas 76524 Map It |
| Account Number | 01-2261-01 |
| Acceptable Method of Payment | Check, online, or money order |
| Payment Details | |
| Payment Amount | $300.00 |
| Receipt Amount | $309.00 |
| Receipt Date | 04/24/2025 |
| Comments | payment made in the amount of $300 plus a $9.00 processing fee |
| Receipt | 103996-Erler.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/28/2025 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs