| Payment ID | 21074 |
|---|---|
| Date Created | 03/29/23 1:05 pm |
| Created By | Gloria Jimenez |
| Service Request | 20438 |
| Application ID | 1498 |
| Authorization Number | |
| Applicant Information | |
| Name | Elizabeth Taylor |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800154 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Bentwood Properties |
| Provider Contact Person | Jackie |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 307-7368 |
| Address of Client Unit | 1400 Park #B1 Waco, Texas 76706 Map It |
| Address for Payment | 601 Lake Air Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | money order / cashier's check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,005.00 |
| Receipt Date | 03/28/2023 |
| Comments | security deposit paid to Bentwood in the amount of $1,000 plus a bank fee of $5.00 for cashiers check |
| Receipt | 28-03-2023Taylor1005.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/29/2023 |
