| Payment ID | 38321 |
|---|---|
| Date Created | 08/24/23 12:45 pm |
| Created By | Gloria Jimenez |
| Service Request | 37212 |
| Application ID | 24992 |
| Authorization Number | 222468 |
| Applicant Information | |
| Name | Timothy Nichols |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401621 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Rolando Guillen |
| Provider Contact Person | Rolando Guillen |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 420-6157 |
| Address of Client Unit | 2355 CR460 Elgin, Texas 78621 Map It |
| Address for Payment | 305 N. Main - Unit # 141 Taylor, Texas 76574 Map It |
| Acceptable Method of Payment | check, money order, cashier's check |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $500.00 |
| Receipt Date | 08/22/2023 |
| Comments | security deposit paid to Rolando Guillen |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/24/2023 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs