| Payment ID | 35124 |
|---|---|
| Date Created | 07/26/23 12:08 pm |
| Created By | Gloria Jimenez |
| Service Request | 33912 |
| Application ID | 30624 |
| Authorization Number | 222267 |
| Applicant Information | |
| Name | Delilah Jones |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001940 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Avila Apartments |
| Contact Name | Amanda Scott |
| Contact Email | Email hidden; Javascript is required. |
| Address | 5000 Sanger Ave Waco, Texas 76710 Map It |
| Phone | (254) 772-0220 |
| Acceptable Method of Payment | check or money order |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $51.00 |
| Receipt Date | 07/25/2023 |
| Comments | application fee paid to Avila Apartments, plus a bank fee of $1.00 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 |
