| Payment ID | 19282 |
|---|---|
| Date Created | 03/08/23 10:17 am |
| Created By | Gloria Jimenez |
| Service Request | 18825 |
| Application ID | 6507 |
| Authorization Number | |
| Applicant Information | |
| Name | EVA SLOVAK |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164000579 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | Ambit Energy |
| Website | ambitenergy.com |
| Address of Client Unit | 1217 N. 29th st Unit A Waco, Texas 76707 Map It |
| Address for Payment | P.O.Box 660462 Dallas, Texas 75266 Map It |
| Account Number | A7025635 |
| Acceptable Method of Payment | credit card |
| Payment Details | |
| Payment Amount | $190.00 |
| Receipt Amount | $190.00 |
| Receipt Date | 03/02/2023 |
| Receipt | 02-03-2023SLOVAK190.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/08/2023 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs