| Payment ID | 118585 |
|---|---|
| Date Created | 08/20/25 11:28 am |
| Created By | Gloria Jimenez |
| Service Request | 116259 |
| Application ID | 115214 |
| Authorization Number | 226799 |
| Applicant Information | |
| Name | Jasmine Shaw |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170405429 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | Green Mountain Energy |
| Website | greenmountainenergy.com |
| Address of Client Unit | 6701 Cold Water Road Waco, Texas 76712 Map It |
| Address for Payment | PO Box 660305 Dallas, Texas 75266 Map It |
| Account Number | 77042890-2 |
| Acceptable Method of Payment | check, online |
| Payment Details | |
| Payment Amount | $129.00 |
| Receipt Amount | $129.00 |
| Receipt Date | 08/19/2025 |
| Comments | Green Mountain paid |
| Receipt | 118585-Shaw.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/20/2025 |
