| Payment ID | 118159 |
|---|---|
| Date Created | 08/13/25 10:28 am |
| Created By | Gloria Jimenez |
| Service Request | 116853 |
| Application ID | 112086 |
| Authorization Number | 226822 |
| Applicant Information | |
| Name | Ericka Butler |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164305274 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Aniceto Charles |
| Provider Contact Person | Aniceto Charles |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (703) 568-0507 |
| Address of Client Unit | 1203 Merganser Way Waco, Texas 76706 Map It |
| Address for Payment | 937 Taylor Waco, Texas 76704 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $2,250.00 |
| Bank Fees | No |
| Receipt Amount | $2,255.00 |
| Receipt Date | 08/12/2025 |
| Comments | security deposit paid in the amount of $2250.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/13/2025 |
