| Payment ID | 108906 |
|---|---|
| Date Created | 05/31/25 7:46 pm |
| Created By | Gloria Jimenez |
| Service Request | 108517 |
| Application ID | 100773 |
| Authorization Number | 226132 |
| Applicant Information | |
| Name | Michal Lang |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 07466104847 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Lott Housing Authority |
| Provider Contact Person | DeBorah Goffrey |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 584-2841 |
| Address of Client Unit | 217 E Cedar St. Apt.10 Lott, Texas 76656 Map It |
| Address for Payment | 211 S 7th St. #34 Lott, Texas 76656 Map It |
| Acceptable Method of Payment | Money order or Cashier Check |
| Payment Details | |
| Payment Amount | $250.00 |
| Bank Fees | No |
| Receipt Amount | $251.00 |
| Receipt Date | 05/31/2025 |
| Comments | security deposit paid plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/31/2025 |
