| Payment ID | 35103 |
|---|---|
| Date Created | 07/26/23 11:22 am |
| Created By | Gloria Jimenez |
| Service Request | 33714 |
| Application ID | 25048 |
| Authorization Number | 222253 |
| Applicant Information | |
| Name | Audrey Bernier |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801624 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Mike Moss |
| Provider Contact Person | Mike Moss |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 400-0729 |
| Address of Client Unit | 1605 Meridian Avenue Waco, Texas 76708 Map It |
| Address for Payment | 1601Meridian Ave Waco, Texas 76708 Map It |
| Acceptable Method of Payment | check, money order |
| Payment Details | |
| Payment Amount | $800.00 |
| Bank Fees | No |
| Receipt Amount | $805.00 |
| Receipt Date | 07/25/2023 |
| Comments | security deposit paid to Mike Moss plus a $5.00 bank fee for certified check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/26/2023 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs