| Payment ID | 121225 |
|---|---|
| Date Created | 09/30/25 4:33 pm |
| Created By | Gloria Jimenez |
| Service Request | 121127 |
| Application ID | 80166 |
| Authorization Number | 227093 |
| Applicant Information | |
| Name | naydine gillum |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503732 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Hezborn Obat |
| Provider Contact Person | Hezborn Obat |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 644-7284 |
| Address of Client Unit | 1103 Dallas St. Apt 102 Waco, Texas 76704 Map It |
| Address for Payment | 3112 Bellmead Dr Waco, Texas 76705 Map It |
| Acceptable Method of Payment | cashier's check |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 09/30/2025 |
| Comments | Security deposit paid plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/30/2025 |
