| Payment ID | 22142 |
|---|---|
| Date Created | 04/10/23 6:08 pm |
| Created By | Gloria Jimenez |
| Service Request | 21542 |
| Application ID | 19752 |
| Authorization Number | |
| Applicant Information | |
| Name | Dacia Leger |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801388 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Pete Arvizu Jr. |
| Provider Contact Person | Pete Arvizu Jr. |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 315-1124 |
| Address of Client Unit | 1912 Howard Waco, Texas 76711 Map It |
| Address for Payment | 113 Painted Horse Trl Waco, Texas 76712 Map It |
| Acceptable Method of Payment | Check, Money Order |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $1,005.00 |
| Receipt Date | 04/10/2023 |
| Comments | security deposit paid to Pete Arizu in the amount of $1,000 plus a $5.00 bank fee |
| Receipt | 10-04-2023Leger1005.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2023 |
