| Payment ID | 20298 |
|---|---|
| Date Created | 03/21/23 10:35 am |
| Created By | Gloria Jimenez |
| Service Request | 19758 |
| Application ID | 5722 |
| Authorization Number | |
| Applicant Information | |
| Name | Crystal Douglas |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600532 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Denise Morgan |
| Provider Contact Person | Denise Morgan |
| Phone | (254) 723-1437 |
| Address of Client Unit | 3510 Windsor waco, Texas 76708 Map It |
| Address for Payment | 813 N Old Robinson rd Robinson, Texas 76706 Map It |
| Acceptable Method of Payment | Money Order |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,005.00 |
| Receipt Date | 03/20/2023 |
| Comments | security deposit paid to Denise Morgan in the amount of $1,000. Plus a bank fee of $5.00 for cashiers check |
| Receipt | 20-03-2023Douglas1005.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | dL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/21/2023 |
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