| Payment ID | 18692 |
|---|---|
| Date Created | 02/28/23 2:03 pm |
| Created By | Gloria Jimenez |
| Service Request | 18063 |
| Application ID | 15845 |
| Authorization Number | |
| Applicant Information | |
| Name | Tikisha Vaughn |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501204 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Envision Offers LOC |
| Provider Contact Person | Kurt |
| Phone | (254) 366-9620 |
| Address of Client Unit | 3212 N 32nd Waco, Texas 76708 Map It |
| Address for Payment | 2201 Washington Ave Waco, Texas 76702 Map It |
| Acceptable Method of Payment | check or money order |
| Payment Details | |
| Payment Amount | $2,000.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $2,005.00 |
| Receipt Date | 02/27/2023 |
| Comments | security deposit in the amount of $2,000 made to Envision LLC. Bank fee of $5.00 for cashiers check |
| Receipt | 27-02-2023Vaughn2005.00.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 |
