| Payment ID | 29133 |
|---|---|
| Date Created | 06/13/23 11:33 am |
| Created By | Gloria Jimenez |
| Service Request | 27940 |
| Application ID | 16434 |
| Authorization Number | 221873 |
| Applicant Information | |
| Name | Lucy Olivarez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16101231 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Eric Gutierrez |
| Provider Contact Person | Eric Gutierrez |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 722-0717 |
| Address of Client Unit | 3400 robinson Dr 123 waco, Texas 76706 Map It |
| Address for Payment | 3400 Robinson Dr lot 127 waco, Texas 76706 Map It |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $600.00 |
| Bank Fees | No |
| Receipt Amount | $600.00 |
| Receipt Date | 06/12/2023 |
| Comments | security deposit paid to Eric Gutierrez |
| Receipt | 29133-Olivarez.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/13/2023 |
