| Payment ID | 24860 |
|---|---|
| Date Created | 05/04/23 9:42 am |
| Created By | Gloria Jimenez |
| Service Request | 24305 |
| Application ID | 19058 |
| Authorization Number | |
| Applicant Information | |
| Name | Djanei Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001357 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | JAYSHAP, LP |
| Provider Contact Person | Sandra Shapiro |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 723-7523 |
| Address of Client Unit | 3818 North 22nd Street Waco, Texas 76708 Map It |
| Address for Payment | WHA 4400 Cobbs Drive Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check, |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | No |
| Receipt Amount | $1,200.00 |
| Receipt Date | 05/01/2023 |
| Comments | security deposit paid to jayshap LP |
| Receipt | 24860-Johnson.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/04/2023 |
