| Payment ID | 33811 |
|---|---|
| Date Created | 07/18/23 1:21 pm |
| Created By | Gloria Jimenez |
| Service Request | 31514 |
| Application ID | 14935 |
| Authorization Number | 222105 |
| Applicant Information | |
| Name | Alissha Jones |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401128 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Fubakaze Holdings LLC |
| Contact Name | Broc Herrera |
| Contact Email | Email hidden; Javascript is required. |
| Address | Mail to: 609 Castle Ridge Rd., Ste 320 Austin, Texas 78746 Map It |
| Phone | (409) 224-3809 |
| Acceptable Method of Payment | Cashier's check |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $51.00 |
| Receipt Date | 07/11/2023 |
| Comments | application fee of $50 plus a bank fee of $1.00 for money order |
| Receipt | 33811-Jones.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 |
