| Payment ID | 19737 |
|---|---|
| Date Created | 03/14/23 1:35 pm |
| Created By | Gloria Jimenez |
| Service Request | 19112 |
| Application ID | 16868 |
| Authorization Number | |
| Applicant Information | |
| Name | Nasia Vaughn |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001251 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Bluebonnet Properties |
| Provider Contact Person | Mickey Lavy |
| Phone | (254) 776-3098 |
| Address of Client Unit | 4009 Parrott waco, Texas 76707 Map It |
| Address for Payment | 2012 Lake air dr D waco, Texas 76710 Map It |
| Acceptable Method of Payment | Money Order |
| Payment Details | |
| Payment Amount | $1,495.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,500.00 |
| Receipt Date | 03/13/2023 |
| Comments | security deposit made to Bluebonnet Properties in the amount of $1495.00 plus a $5.00 bank fee for a cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/14/2023 |
