| Payment ID | 33713 |
|---|---|
| Date Created | 07/18/23 10:30 am |
| Created By | Gloria Jimenez |
| Service Request | 32860 |
| Application ID | 32160 |
| Authorization Number | 222192 |
| Applicant Information | |
| Name | KeNeisha Robinson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170402012 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Bluebonnet Properties |
| Contact Name | Amber Raborn |
| Contact Email | Email hidden; Javascript is required. |
| Address | 2012 lakeair dr D waco, Texas 76710 Map It |
| Phone | (254) 776-3098 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $120.00 |
| Bank Fees | No |
| Receipt Amount | $121.00 |
| Receipt Date | 07/17/2023 |
| Comments | app fee paid to Bluebonnet plus a $1.00 bank fee for money order |
| Receipt | 33713-Robinson.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/18/2023 |
