| Payment ID | 26133 |
|---|---|
| Date Created | 05/17/23 10:08 am |
| Created By | Gloria Jimenez |
| Service Request | 25536 |
| Application ID | 12364 |
| Authorization Number | |
| Applicant Information | |
| Name | Raideja Green |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500957 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Cromwell Company |
| Contact Name | Amber Spriggs |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1725 Columbus Ave Waco, Texas 76701 Map It |
| Phone | (254) 752-9667 |
| Acceptable Method of Payment | check, money order |
| Payment Details | |
| Payment Amount | $45.00 |
| Bank Fees | No |
| Receipt Amount | $45.00 |
| Receipt Date | 05/15/2023 |
| Comments | application fee paid to Cromwell Properties |
| Receipt | 26133-Green.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/17/2023 |
