| Payment ID | 39716 |
|---|---|
| Date Created | 09/14/23 11:43 am |
| Created By | Gloria Jimenez |
| Service Request | 39519 |
| Application ID | 25454 |
| Authorization Number | 222603 |
| Applicant Information | |
| Name | Natalia Jackson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16166501648 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Cromwell |
| Provider Contact Person | Savannah Walpole |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 752-9667 |
| Address of Client Unit | 810 Rambler Dr. #1 Waco, Texas 76710 Map It |
| Address for Payment | 1725 Columbus Avenue Waco, Texas 76701 Map It |
| Acceptable Method of Payment | check, money order |
| Payment Details | |
| Payment Amount | $895.00 |
| Bank Fees | No |
| Receipt Amount | $900.00 |
| Receipt Date | 09/13/2023 |
| Comments | security deposit paid to Cromwell, plus a $5.00 bank fee for certified check |
| Receipt | 39716-Jackson.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/14/2023 |
