| Payment ID | 36730 |
|---|---|
| Date Created | 08/09/23 2:05 pm |
| Created By | Gloria Jimenez |
| Service Request | 36499 |
| Application ID | 14935 |
| Authorization Number | 222437 |
| Applicant Information | |
| Name | Alissha Jones |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401128 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | City of Lacy Lakeview |
| Website | lacylakeview.org |
| Address of Client Unit | 17 Addi Ln Lacy Lakeview, Texas 76705 Map It |
| Address for Payment | 501 E Craven Ave Lacy Lakeview, Texas 76705 Map It |
| Account Number | 16-000080-012 |
| Acceptable Method of Payment | In person with credit / debit card |
| Payment Details | |
| Payment Amount | $250.00 |
| Receipt Amount | $256.25 |
| Receipt Date | 08/08/2023 |
| Comments | payment to City of Lacy Lakeview in the amount of 250.00 plus $5.00 processing fee and $1.25 online payment |
| Receipt | 36730-Jones.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/09/2023 |
