| Payment ID | 24869 |
|---|---|
| Date Created | 05/04/23 10:00 am |
| Created By | Gloria Jimenez |
| Service Request | 24224 |
| Application ID | 11626 |
| Authorization Number | |
| Applicant Information | |
| Name | Ashnashequa Lee |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400915 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Just As I Am Ministries Inc |
| Provider Contact Person | Patricia Iglehart |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (914) 319-4580 |
| Address of Client Unit | 1308 Tabor Ave Apt E Waco, Texas 76704 Map It |
| Address for Payment | 1415 Chapel Hill Dr. Waco, Texas 76712 Map It |
| Acceptable Method of Payment | Money Order / Check |
| Payment Details | |
| Payment Amount | $950.00 |
| Bank Fees | No |
| Receipt Amount | $950.00 |
| Receipt Date | 05/01/2023 |
| Comments | security deposit paid to Just As I Am Ministries |
| Receipt | 24869-Lee.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/04/2023 |
