| Payment ID | 18628 |
|---|---|
| Date Created | 02/28/23 10:01 am |
| Created By | Gloria Jimenez |
| Service Request | 16798 |
| Application ID | 13753 |
| Authorization Number | |
| Applicant Information | |
| Name | Reba SMITH |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601054 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Eagle Centex Rental Properties |
| Provider Contact Person | Gaspar Lopez |
| Phone | (254) 349-2043 |
| Address of Client Unit | 1316 S Loop Dr. Unit #1 Waco, Texas 76704 Map It |
| Address for Payment | 4400 Cobbs Dr Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check or money order |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,005.00 |
| Receipt Date | 02/15/2023 |
| Comments | Security deposit paid to Eagle Centex Rental POC Gaspar Lopez |
| Receipt | 15-02-2023SMITH1005.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/28/2023 |
