| Payment ID | 110495 |
|---|---|
| Date Created | 06/11/25 5:55 pm |
| Created By | Gloria Jimenez |
| Service Request | 109790 |
| Application ID | 49402 |
| Authorization Number | 226262 |
| Applicant Information | |
| Name | Samantha Satchell |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802790 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Provider | Tina Maria Wilson |
| Contact Name | Tina Maria Wilson |
| Email hidden; Javascript is required. | |
| Address of Client Unit | 214 Calvery Rd Waco, Texas 76705 Map It |
| Address for Payment | 4005 Bravo Ranch Road Waco, Texas 76705 Map It |
| Acceptable Method of Payment | check or cash |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 06/11/2025 |
| Comments | pet deposit paid in the amount of $500 for 2 dogs plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/11/2025 |
