| Payment ID | 118189 |
|---|---|
| Date Created | 08/13/25 12:19 pm |
| Created By | Gloria Jimenez |
| Service Request | 117724 |
| Application ID | 77094 |
| Authorization Number | 226896 |
| Applicant Information | |
| Name | Cody Simpson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171003724 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | April Thomas |
| Provider Contact Person | April Thomas |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (682) 221-4494 |
| Address of Client Unit | 181 CR 1627 Clifton, Texas 76634 Map It |
| Address for Payment | 178 CR 1627 Clifton, Texas 76634 Map It |
| Acceptable Method of Payment | check or money order |
| Payment Details | |
| Payment Amount | $925.00 |
| Bank Fees | No |
| Receipt Amount | $930.00 |
| Receipt Date | 08/12/2025 |
| Comments | security deposit paid in the amount of $925.00 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 |
