| Payment ID | 104831 |
|---|---|
| Date Created | 05/06/25 12:09 pm |
| Created By | Gloria Jimenez |
| Service Request | 104451 |
| Application ID | 91885 |
| Authorization Number | 225853 |
| Applicant Information | |
| Name | Elizabeth Clark |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16166404472 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Perfect & Glen Oaks, LLC |
| Provider Contact Person | Jazmin Chavez |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 772-1060 |
| Address of Client Unit | 5100 Sanger Ave. Apt. 162 Waco, Texas 76710 Map It |
| Address for Payment | 5101 Hawthorne Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,150.00 |
| Bank Fees | No |
| Receipt Amount | $1,155.00 |
| Receipt Date | 05/05/2025 |
| Comments | security deposit paid to Perfect and Glen Oaks in the amount of $1150.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/06/2025 |
