| Payment ID | 35178 |
|---|---|
| Date Created | 07/26/23 4:10 pm |
| Created By | Gloria Jimenez |
| Service Request | 32400 |
| Application ID | 4615 |
| Authorization Number | 222163 |
| Applicant Information | |
| Name | Brenda Eary |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500430 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | City of Mart Water |
| Provider Email | Email hidden; Javascript is required. |
| Website | cityofmart.org |
| Address of Client Unit | 500 E Clay Mart, Texas 76664 Map It |
| Address for Payment | 112 N Commerce St. or by phone 254-876-2462 Mart, Texas 76664 Map It |
| Account Number | phone is 254-876-2462 |
| Acceptable Method of Payment | over the phone |
| Payment Details | |
| Payment Amount | $180.00 |
| Receipt Amount | $186.50 |
| Receipt Date | 07/25/2023 |
| Comments | city of Mart water payment 2 receipts both totally $186.50 |
| 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 |
