| Payment ID | 118261 |
|---|---|
| Date Created | 08/14/25 10:24 am |
| Created By | Gloria Jimenez |
| Service Request | 116858 |
| Application ID | 77094 |
| Authorization Number | 226864 |
| 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 | Application Fees |
| Provider Name | April Thomas |
| Contact Name | April Thomas |
| Contact Email | Email hidden; Javascript is required. |
| Address | 178 CR 1627 Clifton, Texas 76634 Map It |
| Phone | (682) 221-4494 |
| Acceptable Method of Payment | check or money order |
| Payment Details | |
| Payment Amount | $30.00 |
| Bank Fees | No |
| Receipt Amount | $31.00 |
| 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 | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/14/2025 |
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