| Payment ID | 18663 |
|---|---|
| Date Created | 02/28/23 12:29 pm |
| Created By | Gloria Jimenez |
| Service Request | 18217 |
| Application ID | 15804 |
| Authorization Number | |
| Applicant Information | |
| Name | Shamaih Williams |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171201194 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | The Cove on 21st |
| Provider Contact Person | Caisey |
| Phone | (254) 756-5855 |
| Address of Client Unit | 2425 S. 21st Waco, Texas 76706 Map It |
| Address for Payment | 2425 S 21st waco, Texas 76706 Map It |
| Acceptable Method of Payment | cashiers check or money order |
| Payment Details | |
| Payment Amount | $530.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $535.00 |
| Receipt Date | 02/27/2023 |
| Comments | security deposit paid to the Cove |
| Receipt | 27-02-2023Williams535.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/28/2023 |
