| Payment ID | 33067 |
|---|---|
| Date Created | 07/13/23 12:13 pm |
| Created By | Gloria Jimenez |
| Service Request | 31612 |
| Application ID | 30417 |
| Authorization Number | 222122 |
| Applicant Information | |
| Name | Angel Baker |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170101926 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Villages of Waco |
| Provider Contact Person | Jennifer |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 301-7055 |
| Address of Client Unit | 1100 N 6th St Apt DD-5 Waco, Texas 76707 Map It |
| Address for Payment | 100 N 6th Street Waco, Texas 76707 Map It |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $287.00 |
| Bank Fees | No |
| Receipt Amount | $288.00 |
| Receipt Date | 07/11/2023 |
| Comments | security deposit of $287.00 paid to Villages of Waco, plus a $1.00 bank fee for money order |
| Receipt | 33067-Baker.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/13/2023 |
