| Payment ID | 114525 |
|---|---|
| Date Created | 07/09/25 12:40 pm |
| Created By | Gloria Jimenez |
| Service Request | 113056 |
| Application ID | 72274 |
| Authorization Number | 226561 |
| Applicant Information | |
| Name | Kiamata Campbell |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16166403521 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | JR Grace Realty, LLC |
| Contact Name | Lacy Torres |
| Contact Email | Email hidden; Javascript is required. |
| Address | 5900 Balcones Dr. #19916 Austin, Texas 78731 Map It |
| Phone | (254) 777-5577 |
| Acceptable Method of Payment | Check or online through portal |
| Payment Details | |
| Payment Amount | $65.00 |
| Bank Fees | No |
| Receipt Amount | $66.00 |
| Receipt Date | 07/09/2025 |
| Comments | application fee paid to JR Grace in the amount of $65.00 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 | 07/09/2025 |
