| Payment ID | 120567 |
|---|---|
| Date Created | 09/16/25 10:23 am |
| Created By | Gloria Jimenez |
| Service Request | 118624 |
| Application ID | 112128 |
| Authorization Number | 226943 |
| Applicant Information | |
| Name | Kimberly Harrison |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170505280 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | Waco RV Resort |
| Provider Email | Email hidden; Javascript is required. |
| Address of Client Unit | 211 N McLennan Dr Lot #13 Elm Mott, Texas 76640 Map It |
| Address for Payment | 211 N McLennan Dr Elm Mott, Texas 76640 Map It |
| Account Number | Not Applicable |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $175.00 |
| Receipt Amount | $176.00 |
| Receipt Date | 09/12/2025 |
| Comments | payment for utility connection mailed |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/16/2025 |
