| Payment ID | 121157 |
|---|---|
| Date Created | 09/29/25 9:17 pm |
| Created By | Gloria Jimenez |
| Service Request | 120696 |
| Application ID | 82625 |
| Authorization Number | 227062 |
| Applicant Information | |
| Name | Brenda Price |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171003815 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Carmel Group |
| Provider Contact Person | Lotan S |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 661-1186 |
| Address of Client Unit | 2620 Colonial Ave Waco, Texas 76707 Map It |
| Address for Payment | 4300 W Waco Drive Suite B2 #327 Waco, Texas 76707 Map It |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 09/29/2025 |
| 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 | 09/29/2025 |
