| Payment ID | 27210 |
|---|---|
| Date Created | 05/30/23 10:35 am |
| Created By | Gloria Jimenez |
| Service Request | 26990 |
| Application ID | 20003 |
| Authorization Number | |
| Applicant Information | |
| Name | Tamiya Richardson-Sample |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170101402 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Lake Air Green Apartments |
| Provider Contact Person | Jasmine Earl |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 349-1398 |
| Address of Client Unit | 912 Lake Air dr apt 24 Waco, Texas 76710 Map It |
| Address for Payment | 912 Lake Air DR #40 Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $500.00 |
| Receipt Date | 05/30/2023 |
| Comments | security deposit paid to Lake Air Green Apt |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2023 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs