| Payment ID | 38406 |
|---|---|
| Date Created | 08/25/23 10:23 am |
| Created By | Gloria Jimenez |
| Service Request | 37652 |
| Application ID | 34980 |
| Authorization Number | 222484 |
| 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 | Pet Deposits |
| Provider | Historic Lofts of Waco High |
| Contact Name | Cierra Smith |
| Email hidden; Javascript is required. | |
| 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 |
| Payment Details | |
| Payment Amount | $200.00 |
| Bank Fees | No |
| Receipt Amount | $201.00 |
| Receipt Date | 08/22/2023 |
| Comments | pet deposit paid to Cierra Smith in the amount of $200 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/25/2023 |
