| Payment ID | 108345 |
|---|---|
| Date Created | 05/28/25 1:49 pm |
| Created By | Gloria Jimenez |
| Service Request | 106970 |
| Application ID | 103768 |
| Authorization Number | 225979 |
| Applicant Information | |
| Name | Andrew Booth |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170504933 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | The Cove on 21st |
| Contact Name | Kenah Frisson |
| Contact Email | Email hidden; Javascript is required. |
| Address | 2425 S 21st Waco, Texas 76706 Map It |
| Phone | (254) 756-5855 |
| Acceptable Method of Payment | cashiers check |
| Payment Details | |
| Payment Amount | $150.00 |
| Bank Fees | No |
| Receipt Amount | $151.00 |
| Receipt Date | 05/28/2025 |
| Comments | application fee paid in the amount of $150.00 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/28/2025 |
