| Payment ID | 26729 |
|---|---|
| Date Created | 05/23/23 1:45 pm |
| Created By | Gloria Jimenez |
| Service Request | 23055 |
| Application ID | 14453 |
| Authorization Number | |
| Applicant Information | |
| Name | Eric Bryant |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701098 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Mammoth MB LLC |
| Provider Contact Person | David Cernosek |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (214) 755-4335 |
| Address of Client Unit | 2624 Bosque A Waco, Texas 76707 Map It |
| Address for Payment | P.O. Box 576 west, Texas 76691 Map It |
| Acceptable Method of Payment | 900 |
| Payment Details | |
| Payment Amount | $900.00 |
| Bank Fees | No |
| Receipt Amount | -$676.00 |
| Receipt Date | 05/03/2023 |
| Comments | refund from Super 8 |
| Receipt | 26729-Bryant.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/23/2023 |
