| Payment ID | 33792 |
|---|---|
| Date Created | 07/18/23 12:32 pm |
| Created By | Gloria Jimenez |
| Service Request | 32353 |
| Application ID | 28492 |
| Authorization Number | 222159 |
| Applicant Information | |
| Name | Arbrianna Jackson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164001818 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Joe Eastep |
| Provider Contact Person | Joe Eastep |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 744-6040 |
| Address of Client Unit | 1713 Sheppard St Waco, Texas 76711 Map It |
| Address for Payment | Drop @ WHA 4400 Cobbs Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check or money order |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 07/11/2023 |
| Comments | security deposit paid to Joe Eastep plus a bank fee of $5.00 for certified check |
| Receipt | 33792-Jackson.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/18/2023 |
