| Payment ID | 22146 |
|---|---|
| Date Created | 04/10/23 6:30 pm |
| Created By | Gloria Jimenez |
| Service Request | 21669 |
| Application ID | 9366 |
| Authorization Number | |
| Applicant Information | |
| Name | Alton Robinson |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400764 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | College Park Apartments |
| Provider Contact Person | Todd Becker |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 709-1892 |
| Address of Client Unit | 104 Faye Dr Apt 3A Waco, Texas 76710 Map It |
| Address for Payment | 5100 Hawthorne Dr Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check, money order, cashiers |
| Payment Details | |
| Payment Amount | $600.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $605.00 |
| Receipt Date | 04/10/2023 |
| Comments | security deposit paid to College apt plus a charge of $5.00 for bank fee |
| Receipt | 10-04-2023Robinson605.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2023 |
