| Payment ID | 35117 |
|---|---|
| Date Created | 07/26/23 11:56 am |
| Created By | Gloria Jimenez |
| Service Request | 33627 |
| Application ID | 33180 |
| Authorization Number | 222258 |
| Applicant Information | |
| Name | Damiandria Busby |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170402058 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Enclave at the Stadium |
| Provider Contact Person | Cheryl Hocker |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 267-0810 |
| Address of Client Unit | 1703 Spring St #145 Waco, Texas 76704 Map It |
| Address for Payment | 1601 MLK Blvd Waco, Texas 76704 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $350.00 |
| Bank Fees | No |
| Receipt Amount | $351.00 |
| Receipt Date | 07/25/2023 |
| Comments | security deposit paid to Enclave at the Stadium plus a $1.00 bank fee for money order. |
| 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 |
