| Payment ID | 118212 |
|---|---|
| Date Created | 08/13/25 2:58 pm |
| Created By | Gloria Jimenez |
| Service Request | 117596 |
| Application ID | 72274 |
| Authorization Number | 226888 |
| 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 | Application Fees |
| Provider Name | LaQueeda Hurth |
| Contact Name | LaQueeda Hurth |
| Contact Email | Email hidden; Javascript is required. |
| Address | 802 E Elm St. Mart, Texas 76664 Map It |
| Phone | (254) 349-5586 |
| Acceptable Method of Payment | Cashier Check |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $51.00 |
| Receipt Date | 08/12/2025 |
| Comments | application fee 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 | 08/13/2025 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs