| Payment ID | 115464 |
|---|---|
| Date Created | 07/16/25 10:27 am |
| Created By | Gloria Jimenez |
| Service Request | 113788 |
| Application ID | 80610 |
| Authorization Number | 226626 |
| Applicant Information | |
| Name | TINA THOMAS |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170803745 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Provider | Joseph Williams |
| Contact Name | Joseph Williams |
| Email hidden; Javascript is required. | |
| Address of Client Unit | 209 Johnson St. McGregor, Texas 76657 Map It |
| Address for Payment | 1350 Peach St. Abilene, Texas 79602 Map It |
| Acceptable Method of Payment | Money order |
| Phone | (325) 668-3775 |
| Payment Details | |
| Payment Amount | $250.00 |
| Bank Fees | No |
| Receipt Amount | $251.00 |
| Receipt Date | 07/15/2025 |
| Comments | pet deposit paid 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 | 07/16/2025 |
