| Payment ID | 119091 |
|---|---|
| Date Created | 08/27/25 4:04 pm |
| Created By | Gloria Jimenez |
| Service Request | 118591 |
| Application ID | 116653 |
| Authorization Number | 226948 |
| 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 | Application Fees |
| Provider Name | Cromwell Company |
| Contact Name | Aaron Anderson |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1725 Colombus Ave Waco, Texas 76701 Map It |
| Phone | (254) 752-9667 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $55.00 |
| Bank Fees | No |
| Receipt Amount | $56.00 |
| 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 | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/27/2025 |
