| Payment ID | 119088 |
|---|---|
| Date Created | 08/27/25 4:00 pm |
| Created By | Gloria Jimenez |
| Service Request | 118502 |
| Application ID | 97379 |
| Authorization Number | 226957 |
| Applicant Information | |
| Name | Jacquoia Gray |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170204705 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Ashton Oaks |
| Contact Name | Savannah Tobias |
| Contact Email | Email hidden; Javascript is required. |
| Address | 5100 Hawthorne Dr Waco, Texas 76710 Map It |
| Phone | (254) 772-7390 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $35.00 |
| Bank Fees | No |
| Receipt Amount | $36.00 |
| Receipt Date | 08/26/2025 |
| Comments | application fee paid plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/27/2025 |
