| Payment ID | 18606 |
|---|---|
| Date Created | 02/27/23 5:52 pm |
| Created By | Gloria Jimenez |
| Service Request | 18099 |
| Application ID | 16113 |
| Authorization Number | |
| Applicant Information | |
| Name | LaQuisha Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001216 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Triliji Group |
| Provider Contact Person | Christy Petterson christy@trilijigroup.com |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 757-0663 |
| Address of Client Unit | 3912 Parrott Waco, Texas 76707 Map It |
| Address for Payment | 5401 Crosslake Pkwy Suite 100 Waco, Texas 76712 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,250.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,255.00 |
| Receipt Date | 02/23/2023 |
| Comments | security deposit paid to Triliji group |
| Receipt | 23-02-2023Johnson1255.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/27/2023 |
