| Payment ID | 21104 |
|---|---|
| Date Created | 03/29/23 2:13 pm |
| Created By | Gloria Jimenez |
| Service Request | 20276 |
| Application ID | 3320 |
| Authorization Number | |
| Applicant Information | |
| Name | Brittany Glynn |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800313 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | The Retreat at Central Texas Marketplace |
| Provider Contact Person | Noah |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 235-9800 |
| Address of Client Unit | 2500 Marketplace Drive #635 Waco, Texas 76711 Map It |
| Address for Payment | 2500 Marketplace Drive Waco, Texas 76711 Map It |
| Acceptable Method of Payment | check or money order |
| Payment Details | |
| Payment Amount | $1,198.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,203.00 |
| Receipt Date | 03/28/2023 |
| Comments | security deposit paid to The Retreat in the amount of $1,198.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | 28-03-2023Glynn1203.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/29/2023 |
