| Payment ID | 31080 |
|---|---|
| Date Created | 06/28/23 12:12 pm |
| Created By | Gloria Jimenez |
| Service Request | 29779 |
| Application ID | 23152 |
| Authorization Number | 221982 |
| 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 | Application Fees |
| Provider Name | Residences at lake Waco |
| Contact Name | Brenda Jimenez |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1550 w hwy 6 waco, Texas 76712 Map It |
| Phone | (254) 230-9788 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $20.00 |
| Bank Fees | No |
| Receipt Amount | $20.00 |
| Receipt Date | 06/21/2023 |
| Comments | application fee |
| Receipt | 31080-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 |
