| Payment ID | 112679 |
|---|---|
| Date Created | 06/24/25 11:18 am |
| Created By | Gloria Jimenez |
| Service Request | 110362 |
| Application ID | 83950 |
| Authorization Number | 226300 |
| Applicant Information | |
| Name | Raquel Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171204082 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Canyon Springs |
| Contact Name | Ashley Bates |
| Contact Email | Email hidden; Javascript is required. |
| Address | 2301 Woodgate Dr. Waco, Texas 76712 Map It |
| Phone | (254) 235-0602 |
| Acceptable Method of Payment | cashier's check |
| Payment Details | |
| Payment Amount | $60.00 |
| Bank Fees | No |
| Receipt Amount | $61.00 |
| Receipt Date | 06/24/2025 |
| Comments | APPLICATION FEE PAID 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 | 06/24/2025 |
