| Payment ID | 35096 |
|---|---|
| Date Created | 07/26/23 11:10 am |
| Created By | Gloria Jimenez |
| Service Request | 33575 |
| Application ID | 31465 |
| Authorization Number | 222260 |
| Applicant Information | |
| Name | Aquala Redmond |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701973 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Just As I Am Ministries |
| Provider Contact Person | Dominique Robinson |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 550-1597 |
| Address of Client Unit | 1308 Tabor Apt A Waco, Texas 76704 Map It |
| Address for Payment | Drop @ WHA 4400 Cobbs Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $950.00 |
| Bank Fees | No |
| Receipt Amount | $955.00 |
| Receipt Date | 07/25/2023 |
| Comments | security deposit paid to Just As I am Ministries. plus a bank fee of $5.00 for certified check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/26/2023 |
