| Payment ID | 25569 |
|---|---|
| Date Created | 05/10/23 11:49 am |
| Created By | Gloria Jimenez |
| Service Request | 23405 |
| Application ID | 5022 |
| Authorization Number | |
| Applicant Information | |
| Name | Cecil Roach |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500458 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | City of Waco Water |
| Website | waco-texas.com |
| Address of Client Unit | 1602 Live Oak Trail Unit B Waco, Texas 76708 Map It |
| Address for Payment | 425 Franklin Ave Waco, Texas 76701 Map It |
| Account Number | 298896-215291 |
| Acceptable Method of Payment | Credit card |
| Payment Details | |
| Payment Amount | $212.50 |
| Receipt Amount | $212.50 |
| Receipt Date | 05/08/2023 |
| Comments | payment made to City of Waco Water |
| Receipt | 25569-Roach.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/10/2023 |
