| Payment ID | 29115 |
|---|---|
| Date Created | 06/13/23 10:47 am |
| Created By | Gloria Jimenez |
| Service Request | 28343 |
| Application ID | 26753 |
| Authorization Number | 221910 |
| Applicant Information | |
| Name | Rena Nelson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16165701722 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Dripping Springs Senior Village |
| Provider Contact Person | Regina Horton |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 412-2262 |
| Address of Client Unit | 2405 JJ Flewellen Rd. Apartment 2103 Waco, Texas 76704 Map It |
| Address for Payment | 2405 JJ Flewellen Rd Waco, Texas 76704 Map It |
| Acceptable Method of Payment | check, cashier's check, money order |
| Payment Details | |
| Payment Amount | $340.00 |
| Bank Fees | No |
| Receipt Amount | $340.00 |
| Receipt Date | 06/12/2023 |
| Comments | security deposit paid to Dripping springs Senior Village |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/13/2023 |
