| Payment ID | 104834 |
|---|---|
| Date Created | 05/06/25 12:19 pm |
| Created By | Gloria Jimenez |
| Service Request | 104452 |
| Application ID | 39807 |
| Authorization Number | 225859 |
| Applicant Information | |
| Name | Heather Daniels |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170402367 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | John Montez |
| Provider Contact Person | aida scott |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 759-8600 |
| Address of Client Unit | 721 Dunbar Ave Waco, Texas 76704 Map It |
| Address for Payment | 523 Herring Ave Waco, Texas 76708 Map It |
| Acceptable Method of Payment | money order or check |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | No |
| Receipt Amount | $1,205.00 |
| Receipt Date | 05/05/2025 |
| Comments | security deposit paid to John Montez in the amount of $1200.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/06/2025 |
