| Payment ID | 33700 |
|---|---|
| Date Created | 07/18/23 10:13 am |
| Created By | Gloria Jimenez |
| Service Request | 33111 |
| Application ID | 21089 |
| Authorization Number | 222222 |
| Applicant Information | |
| Name | Amika Adkison |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501455 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Brazos Village Apartments |
| Provider Contact Person | Angelica Torres |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 799-5355 |
| Address of Client Unit | 2525 E Lake Shore Drive # 408 Waco, Texas 76705 Map It |
| Address for Payment | 2525 e Lake shore dr waco, Texas 76705 Map It |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $350.00 |
| Bank Fees | No |
| Receipt Amount | $351.00 |
| Receipt Date | 07/17/2023 |
| Comments | security deposit paid to Brazos village plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/18/2023 |
