| Payment ID | 21120 |
|---|---|
| Date Created | 03/29/23 2:46 pm |
| Created By | Gloria Jimenez |
| Service Request | 20496 |
| Application ID | 19666 |
| Authorization Number | |
| Applicant Information | |
| Name | Daniel Reyes |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801385 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Jesse James Fuentes |
| Provider Contact Person | Jesse Fuentes |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 229-2080 |
| Address of Client Unit | 3539 N 20th St. Waco, Texas 76708 Map It |
| Address for Payment | Drop @ WHA 4400 Cobbs Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Money order |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,205.00 |
| Receipt Date | 03/28/2023 |
| Comments | security deposit paid to Jesse Fuentes in the amount of $1200.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| 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 |
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