| Payment ID | 21088 |
|---|---|
| Date Created | 03/29/23 1:38 pm |
| Created By | Gloria Jimenez |
| Service Request | 20336 |
| Application ID | 12546 |
| Authorization Number | |
| Applicant Information | |
| Name | Angela Martinez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800989 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Bentwood |
| Address | 601 Lake Air Dr Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | Yes |
| Fee Amount | $1.00 |
| Receipt Amount | $51.00 |
| Receipt Date | 03/28/2023 |
| Comments | application fee to Bentwood Property in the amount of $50.00 plus a bank fee of $1,00 for money order |
| Receipt | 28-03-2023Martinez51.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/29/2023 |
