| Payment ID | 18634 |
|---|---|
| Date Created | 02/28/23 10:11 am |
| Created By | Gloria Jimenez |
| Service Request | 18206 |
| Application ID | 16489 |
| Authorization Number | |
| Applicant Information | |
| Name | Keishala Chappell |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601233 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Contact Name | DARRELL HARRIS |
| Address | 3421 N.19TH ST WACO, Texas 76708 Map It |
| Payment Details | |
| Payment Amount | $100.00 |
| Bank Fees | Yes |
| Fee Amount | $1.00 |
| Receipt Amount | $101.00 |
| Receipt Date | 02/27/2023 |
| Comments | APPLICATION FEE PAID TO DARRELL HARRIS. MONEY ORDER OF $100.00 PLUS $1.00 BANK FEE |
| Receipt | 27-02-2023Chappell101.00.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 |
