| Payment ID | 119077 |
|---|---|
| Date Created | 08/27/25 3:39 pm |
| Created By | Gloria Jimenez |
| Service Request | 118543 |
| Application ID | 111017 |
| Authorization Number | 226951 |
| Applicant Information | |
| Name | Katelyn Sims |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170505243 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Gasper Lopez |
| Provider Contact Person | Gasper Lopez |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (323) 769-9210 |
| Address of Client Unit | 510 Camp Ground Rd. Bellmead, Texas 76705 Map It |
| Address for Payment | 510 Penton Ln Bellmead, Texas 76705 Map It |
| Acceptable Method of Payment | cash, check, money order, |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | No |
| Receipt Amount | $1,205.00 |
| 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 | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/27/2025 |
