| Payment ID | 25572 |
|---|---|
| Date Created | 05/10/23 11:57 am |
| Created By | Gloria Jimenez |
| Service Request | 24870 |
| Application ID | 9648 |
| Authorization Number | |
| Applicant Information | |
| Name | Joseph Sauls |
| 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 | 16171100795 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Carolyn King |
| Provider Contact Person | Carolyn King |
| Phone | (254) 313-2636 |
| Address of Client Unit | 1100 Primrose Dr waco, Texas 76706 Map It |
| Address for Payment | 1100 primrose dr waco, Texas 76706 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $500.00 |
| Receipt Date | 05/08/2023 |
| Comments | security deposit paid to Carolyn King |
| Receipt | 25572-Sauls.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/10/2023 |
