| Payment ID | 34969 |
|---|---|
| Date Created | 07/25/23 3:32 pm |
| Created By | Gloria Jimenez |
| Service Request | 34200 |
| Application ID | 31557 |
| Authorization Number | 222289 |
| Applicant Information | |
| Name | LaQuisha Fountain |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801982 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Peak Property Mgmt |
| Provider Contact Person | Amie Robertson |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (952) 693-7400 |
| Address of Client Unit | 2812 Stewart Dr Waco, Texas 76708 Map It |
| Address for Payment | Mail to: 35494 CR 3 Crosslake, Minnesota 54442 Map It |
| Acceptable Method of Payment | Check / money order |
| Payment Details | |
| Payment Amount | $1,550.00 |
| Bank Fees | No |
| Receipt Amount | $1,555.09 |
| Receipt Date | 07/25/2023 |
| Comments | security deposit paid to Peak Property Mgmt |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/25/2023 |
