| Payment ID | 35065 |
|---|---|
| Date Created | 07/26/23 10:03 am |
| Created By | Gloria Jimenez |
| Service Request | 34233 |
| Application ID | 9689 |
| Authorization Number | 222286 |
| Applicant Information | |
| Name | Marques Conner |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800798 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Perfect & Glen Oaks |
| Provider Contact Person | Jazmin |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 772-1060 |
| Address of Client Unit | 5101 Hawthorne Dr # 208 Waco, Texas 76710 Map It |
| Address for Payment | 5101 Hawthorne Dr Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $550.00 |
| Bank Fees | No |
| Receipt Amount | $555.00 |
| Receipt Date | 07/25/2023 |
| Comments | security deposit paid to Perfect & Glen Oaks plus a bank fee of $5.00 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/26/2023 |
