| Payment ID | 31077 |
|---|---|
| Date Created | 06/28/23 12:05 pm |
| Created By | Gloria Jimenez |
| Service Request | 29781 |
| Application ID | 23152 |
| Authorization Number | 221979 |
| Applicant Information | |
| Name | DAWN OLSEN |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164301545 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Residences at lake waco |
| Provider Contact Person | Brenda Jimenez |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 230-9788 |
| Address of Client Unit | 1550 w highway 6 Apt 1111 waco, Texas 76712 Map It |
| Address for Payment | 1550 w highway 6 waco, Texas 76712 Map It |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $150.00 |
| Bank Fees | No |
| Receipt Amount | $150.00 |
| Receipt Date | 06/21/2023 |
| Comments | security deposit paid to Residence at Lake Waco |
| Receipt | 31077-OLSEN.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/28/2023 |
