| Payment ID | 36420 |
|---|---|
| Date Created | 08/08/23 10:12 am |
| Created By | Gloria Jimenez |
| Service Request | 35189 |
| Application ID | 30624 |
| Authorization Number | 222348 |
| 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 | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | Reliant |
| Website | reliant.com |
| Address of Client Unit | 5000 Sanger Ave #1911 Waco, Texas 76710 Map It |
| Address for Payment | P.O. Box 650475 Waco, Texas 75265 Map It |
| Account Number | 75963421-5 |
| Acceptable Method of Payment | card |
| Payment Details | |
| Payment Amount | $59.00 |
| Receipt Amount | $59.00 |
| Receipt Date | 08/05/2023 |
| Comments | payment made for electric |
| Receipt | 36420-Jones.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/08/2023 |
