| Payment ID | 31268 |
|---|---|
| Date Created | 06/29/23 11:27 am |
| Created By | Gloria Jimenez |
| Service Request | 30133 |
| Application ID | 27155 |
| Authorization Number | 222021 |
| Applicant Information | |
| Name | Ishale Fields |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601754 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Woody Butler Rentals |
| Provider Contact Person | Judy |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 420-4663 |
| Address of Client Unit | 1023 Ashleman St. Unit A Waco, Texas 76705 Map It |
| Address for Payment | 207 Sun Valley Blvd. Hewitt, Texas 76643 Map It |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $500.00 |
| Receipt Date | 06/28/2023 |
| Comments | security deposit to Woody Butler |
| Receipt | 31268-Fields.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/29/2023 |
