| Payment ID | 119075 |
|---|---|
| Date Created | 08/27/25 3:35 pm |
| Created By | Gloria Jimenez |
| Service Request | 118601 |
| Application ID | 116653 |
| Authorization Number | 226946 |
| Applicant Information | |
| Name | Samantha Simpson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170605511 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Cromwell Company |
| Provider Contact Person | Aaron Anderson |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 752-9667 |
| Address of Client Unit | 1508 S 13th #116 Waco, Texas 76706 Map It |
| Address for Payment | 1725 Colombus Ave Waco, Texas 76701 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 08/26/2025 |
| Comments | security deposit paid 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 | 08/27/2025 |
