| Payment ID | 118198 |
|---|---|
| Date Created | 08/13/25 1:40 pm |
| Created By | Gloria Jimenez |
| Service Request | 117611 |
| Application ID | 100123 |
| Authorization Number | 226885 |
| Applicant Information | |
| Name | Yahira Deleon |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170604820 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Provider | Sherry Brown |
| Contact Name | Sherry Brown |
| Email hidden; Javascript is required. | |
| Address of Client Unit | 2285 Talbert Ranch Rd China Spring, Texas 76633 Map It |
| Address for Payment | PO BOX 113 China Spring, Texas 76633 Map It |
| Acceptable Method of Payment | cash, check, money order |
| Phone | (254) 717-8554 |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 08/12/2025 |
| Comments | pet deposit paid in the amount of $500.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/13/2025 |
