| Payment ID | 28447 |
|---|---|
| Date Created | 06/07/23 9:36 am |
| Created By | Gloria Jimenez |
| Service Request | 27596 |
| Application ID | 19391 |
| Authorization Number | |
| Applicant Information | |
| Name | Beranda Richardson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001373 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Melvineshia Jones |
| Provider Contact Person | Melvineshia Jones |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (318) 305-2985 |
| Address of Client Unit | 2716 Bosque Blvd Waco, Texas 76707 Map It |
| Address for Payment | 1001 N Valley Mills Dr, 218a Waco, Texas 76710 Map It |
| Acceptable Method of Payment | money order, check |
| Payment Details | |
| Payment Amount | $1,500.00 |
| Bank Fees | No |
| Receipt Amount | $1,500.00 |
| Receipt Date | 06/05/2023 |
| Comments | security deposit paid to Melvinishia Jones |
| Receipt | 28447-Richardson.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/07/2023 |
