| Payment ID | 29912 |
|---|---|
| Date Created | 06/20/23 1:08 pm |
| Created By | Gloria Jimenez |
| Service Request | 29156 |
| Application ID | 25951 |
| Authorization Number | 221957 |
| Applicant Information | |
| Name | Tiffany Porter |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001681 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Bluebonnet Properties |
| Provider Contact Person | Madison Grimm |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 776-3098 |
| Address of Client Unit | 3009 Buckskin Lane Robinson, Texas 76706 Map It |
| Address for Payment | 2012 Lake Air Drive Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,750.00 |
| Bank Fees | No |
| Receipt Amount | $1,750.00 |
| Receipt Date | 06/15/2023 |
| Comments | security deposit to Bluebonnet |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/20/2023 |
