| Payment ID | 118185 |
|---|---|
| Date Created | 08/13/25 11:54 am |
| Created By | Gloria Jimenez |
| Service Request | 117606 |
| Application ID | 72274 |
| Authorization Number | 226887 |
| 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 | Security Deposits |
| Provider Name | LaQueeda Hurth |
| Provider Contact Person | LaQueeda Hurth |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 349-5586 |
| Address of Client Unit | 302 S Pearl Mart, Texas 76664 Map It |
| Address for Payment | 802 S Elm St. Mart, Texas 76664 Map It |
| Acceptable Method of Payment | Cashier check |
| Payment Details | |
| Payment Amount | $850.00 |
| Bank Fees | No |
| Receipt Amount | $855.00 |
| Receipt Date | 08/12/2025 |
| Comments | security deposit paid in the amount of $850.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/13/2025 |
