| Payment ID | 111530 |
|---|---|
| Date Created | 06/18/25 11:46 am |
| Created By | Gloria Jimenez |
| Service Request | 110540 |
| Application ID | 103780 |
| Authorization Number | 226332 |
| Applicant Information | |
| Name | Jonnell Majors |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170404934 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Costa Esmeralda, Ltd |
| Provider Contact Person | Starlet Pope |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 757-2163 |
| Address of Client Unit | 1516 Gurley ln #3-201 Waco, Texas 76706 Map It |
| Address for Payment | 1516 Gurley Ln Waco, Texas 76706 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $350.00 |
| Bank Fees | No |
| Receipt Amount | $351.00 |
| Receipt Date | 06/17/2025 |
| Comments | security deposit paid plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/18/2025 |
