| Payment ID | 37231 |
|---|---|
| Date Created | 08/15/23 1:33 pm |
| Created By | Gloria Jimenez |
| Service Request | 36288 |
| Application ID | 34980 |
| Authorization Number | 222415 |
| Applicant Information | |
| Name | Azrian Emory |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171102147 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Historic Lofts of Waco High |
| Provider Contact Person | Cierra Smith |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 753-1120 |
| Address of Client Unit | 815 Columbus Ave #2305 Waco, Texas 76701 Map It |
| Address for Payment | 815 Columbus Ave Waco, Texas 76701 Map It |
| Acceptable Method of Payment | check, money order |
| Payment Details | |
| Payment Amount | $691.00 |
| Bank Fees | No |
| Receipt Amount | $696.00 |
| Receipt Date | 08/14/2023 |
| Comments | security deposit paid to Historic Lofts plus a bank fee of $5.00 for certified check |
| Receipt | 37231-Emory.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/15/2023 |
