| Payment ID | 120898 |
|---|---|
| Date Created | 09/24/25 10:38 am |
| Created By | Gloria Jimenez |
| Service Request | 120669 |
| Application ID | 91658 |
| Authorization Number | 227066 |
| Applicant Information | |
| Name | Amber White |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164304459 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Brookside Apartments |
| Contact Name | Michelle Maher |
| Contact Email | Email hidden; Javascript is required. |
| Address | 620 N Hewitt Dr Hewitt, Texas 76643 Map It |
| Phone | (254) 666-7575 |
| Acceptable Method of Payment | cashiers check |
| Payment Details | |
| Payment Amount | $100.00 |
| Bank Fees | No |
| Receipt Amount | $101.00 |
| Receipt Date | 09/23/2025 |
| Comments | application fee paid plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/24/2025 |
