| Payment ID | 27211 |
|---|---|
| Date Created | 05/30/23 10:37 am |
| Created By | Gloria Jimenez |
| Service Request | 26361 |
| Application ID | 20819 |
| Authorization Number | |
| Applicant Information | |
| Name | Kendra Morris |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16169101438 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Just As I Am Ministries, INC |
| Provider Contact Person | Dominique Robinson |
| Phone | (254) 550-1597 |
| Address of Client Unit | 1308 Tabor St Unit B Waco, Texas 76704 Map It |
| Address for Payment | 4400 Cobbs Dr Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Cashier's Check, Money Order |
| Payment Details | |
| Payment Amount | $950.00 |
| Bank Fees | No |
| Receipt Amount | $950.00 |
| Receipt Date | 05/30/2023 |
| Comments | security deposit paid to Just As I Am Ministries |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2023 |
