| Payment ID | 114545 |
|---|---|
| Date Created | 07/09/25 1:13 pm |
| Created By | Gloria Jimenez |
| Service Request | 113810 |
| Application ID | 87659 |
| Authorization Number | 226624 |
| Applicant Information | |
| Name | Sharonise Hardin |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171004280 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Angela Jones |
| Contact Name | Yolanda |
| Contact Email | Email hidden; Javascript is required. |
| Address | 234 Bud Dr Bellemad, Texas 76705 Map It |
| Phone | (254) 214-7831 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $75.00 |
| Bank Fees | No |
| Receipt Amount | $76.00 |
| Receipt Date | 07/09/2025 |
| Comments | application fee paid in the amount of $75.00 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/09/2025 |
