| Payment ID | 104850 |
|---|---|
| Date Created | 05/06/25 2:46 pm |
| Created By | Gloria Jimenez |
| Service Request | 104047 |
| Application ID | 20843 |
| Authorization Number | 225818 |
| Applicant Information | |
| Name | Michelle Cole |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401440 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Kate Ross |
| Provider Contact Person | Corina Mendoza |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 752-0324 |
| Address of Client Unit | 817 1/2 South 11th Waco, Texas 76706 Map It |
| Address for Payment | 937 South 11th Waco, Texas 76706 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $200.00 |
| Bank Fees | No |
| Receipt Amount | $201.00 |
| Receipt Date | 05/05/2025 |
| Comments | security deposit paid to Kate Ross in the amount of $200 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/06/2025 |
