| Payment ID | 120481 |
|---|---|
| Date Created | 09/15/25 10:30 am |
| Created By | Gloria Jimenez |
| Service Request | 119123 |
| Application ID | 112936 |
| Authorization Number | 226986 |
| Applicant Information | |
| Name | Rose Shaw |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170505307 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Charles Spivey Real Estate |
| Provider Contact Person | Charles Spivey |
| Phone | (254) 753-5341 |
| Address of Client Unit | 2803 Parrish St. Apt. B Bellmead, Texas 76705 Map It |
| Address for Payment | 4117 Roselawn Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check or Money order |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 09/12/2025 |
| Comments | security deposit paid in the amount of $500.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/15/2025 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs