| Payment ID | 33069 |
|---|---|
| Date Created | 07/13/23 12:19 pm |
| Created By | Gloria Jimenez |
| Service Request | 31810 |
| Application ID | 5223 |
| Authorization Number | 222146 |
| Applicant Information | |
| Name | Jessica Norman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700477 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Summit at the Villages at Waco |
| Phone | (254) 301-7055 |
| Address of Client Unit | 1100 N Sixth Street Apt U-2 waco, Texas 76707 Map It |
| Address for Payment | 1100 N Sixth Street Waco, Texas 76707 Map It |
| Acceptable Method of Payment | Money Order |
| Payment Details | |
| Payment Amount | $543.00 |
| Bank Fees | No |
| Receipt Amount | $548.00 |
| Receipt Date | 07/11/2023 |
| Comments | security deposit paid to Villages at Waco in the amount of $543.00, plus a $5.00 bank fee for certified check |
| Receipt | 33069-Norman.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/13/2023 |
