| Payment ID | 120573 |
|---|---|
| Date Created | 09/16/25 10:38 am |
| Created By | Gloria Jimenez |
| Service Request | 118636 |
| Application ID | 103496 |
| Authorization Number | 226942 |
| Applicant Information | |
| Name | Sharon Frere |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170704918 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | RV Resort |
| Provider Email | Email hidden; Javascript is required. |
| Address of Client Unit | 211 N McLennan Dr. Lot #12 Elm Mott, Texas 76640 Map It |
| Address for Payment | 211 N McLennan Dr Elm Mott, Texas 76640 Map It |
| Account Number | Not Applicable - Lot #12 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $175.00 |
| Receipt Amount | $176.00 |
| Receipt Date | 09/16/2025 |
| Comments | payment for utility connection paid and mailed out |
| 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 |
