| Payment ID | 30281 |
|---|---|
| Date Created | 06/22/23 11:07 am |
| Created By | Gloria Jimenez |
| Service Request | 29764 |
| Application ID | 24773 |
| Authorization Number | 221990 |
| Applicant Information | |
| Name | Alexandra Barajas |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 11064501610 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Rosemont of Hillsboro |
| Contact Name | Stephanie Woosley |
| Address | 807 Abbott Ave. Hillsboro, Texas 76645 Map It |
| Phone | (254) 582-1222 |
| Acceptable Method of Payment | Cashier Check or money order |
| Payment Details | |
| Payment Amount | $25.00 |
| Bank Fees | No |
| Receipt Amount | $25.00 |
| Receipt Date | 06/21/2023 |
| Comments | application fee paid to Rosemont of hillsboro |
| Receipt | 30281-Barajas.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/22/2023 |
