| Payment ID | 19733 |
|---|---|
| Date Created | 03/14/23 1:23 pm |
| Created By | Gloria Jimenez |
| Service Request | 19412 |
| Application ID | 17603 |
| Authorization Number | |
| Applicant Information | |
| Name | Markera Mays |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801292 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Pete Arvizu |
| Provider Contact Person | Pete Arvizu |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 722-8751 |
| Address of Client Unit | 3901 N 25th St. Waco, Texas 76708 Map It |
| Address for Payment | Drop @ WHA 4400 Cobbs Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | cashiers check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,005.00 |
| Receipt Date | 03/13/2023 |
| Comments | security deposit made out to Pete Arvizu in the amount of $1,000 plus a $5.00 bank fee for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/14/2023 |
