| Payment ID | 120492 |
|---|---|
| Date Created | 09/15/25 11:05 am |
| Created By | Gloria Jimenez |
| Service Request | 119811 |
| Application ID | 83536 |
| Authorization Number | 227004 |
| Applicant Information | |
| Name | Heather Rousey |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170404010 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Gasper Lopez Marquez |
| Provider Contact Person | Gasper Lopez Marquez |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (323) 769-9210 |
| Address of Client Unit | 3515 Memorial Dr Waco, Texas 76711 Map It |
| Address for Payment | 521 Penton Lane Waco, Texas 76705 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | No |
| Receipt Amount | $1,205.00 |
| Receipt Date | 09/12/2025 |
| Comments | security deposit paid in the amount of $1200.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/15/2025 |
