| Payment ID | 121224 |
|---|---|
| Date Created | 09/30/25 4:30 pm |
| Created By | Gloria Jimenez |
| Service Request | 121149 |
| Application ID | 80819 |
| Authorization Number | 227095 |
| Applicant Information | |
| Name | Davina Smith |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170103755 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | BlueKey TX LLC |
| Contact Name | Tina Nguyen |
| Contact Email | Email hidden; Javascript is required. |
| Address | 4716 W Waco Dr Waco, Texas 76710 Map It |
| Phone | (714) 267-1919 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $45.00 |
| Bank Fees | No |
| Receipt Amount | $46.00 |
| Receipt Date | 09/30/2025 |
| Comments | APPLICATION FEE PAID PLUS A BANK FEE OF $1.00 FOR MONEY ORDER |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | SJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/30/2025 |
