| Payment ID | 120873 |
|---|---|
| Date Created | 09/24/25 9:39 am |
| Created By | Gloria Jimenez |
| Service Request | 120303 |
| Application ID | 108192 |
| Authorization Number | 227042 |
| Applicant Information | |
| Name | Jessica Arias |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171005122 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Tina Wilson |
| Provider Contact Person | Tina Maria Wilson |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 733-1852 |
| Address of Client Unit | 214 Calvery St Waco, Texas 76705 Map It |
| Address for Payment | 4005 Bravo Ranch Rd Waco, Texas 76705 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,300.00 |
| Bank Fees | No |
| Receipt Amount | $1,305.00 |
| Receipt Date | 09/23/2025 |
| Comments | security deposit paid plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/24/2025 |
