| Payment ID | 39718 |
|---|---|
| Date Created | 09/14/23 11:52 am |
| Created By | Gloria Jimenez |
| Service Request | 38759 |
| Application ID | 38743 |
| Authorization Number | 222582 |
| Applicant Information | |
| Name | Tamiki Anderson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16160402314 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Cromwell Company |
| Provider Contact Person | Aaron Anderson |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 752-9667 |
| Address of Client Unit | 800 Rambler Dr., Apt # 15 Waco, Texas 76710 Map It |
| Address for Payment | 1725 Columbus Ave Waco, Texas 76701 Map It |
| Acceptable Method of Payment | check, money order, cashiers check |
| Payment Details | |
| Payment Amount | $1,192.50 |
| Bank Fees | No |
| Receipt Amount | $1,197.50 |
| Receipt Date | 09/13/2023 |
| Comments | security deposit paid to Cromwell, plus a bank fee of $5.00 for certified check |
| Receipt | 39718-Anderson.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/14/2023 |
