| Payment ID | 22151 |
|---|---|
| Date Created | 04/10/23 6:52 pm |
| Created By | Gloria Jimenez |
| Service Request | 20988 |
| Application ID | 17123 |
| Authorization Number | |
| Applicant Information | |
| Name | Keisha Walker |
| Agency Name | ISD |
| Agency Code | 220501 |
| Agency | ISD |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701270 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Ashton Oaks |
| Provider Contact Person | Todd Becker |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 772-3530 |
| Address of Client Unit | 5100 Hawthorne Dr #1106 Waco, Texas 76710 Map It |
| Address for Payment | 5100 Hawthorne Dr Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check or Money Order |
| Payment Details | |
| Payment Amount | $800.00 |
| Bank Fees | Yes |
| Fee Amount | $5.00 |
| Receipt Amount | $805.00 |
| Receipt Date | 04/05/2023 |
| Comments | security deposit paid to Ashton Oaks plus a $5.00 bank fee for cashiers check |
| Receipt | 05-04-2023Walker805.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2023 |
