| Payment ID | 39768 |
|---|---|
| Date Created | 09/14/23 3:46 pm |
| Created By | Gloria Jimenez |
| Service Request | 38433 |
| Application ID | 25454 |
| Authorization Number | 222521 |
| 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 | Application Fees |
| Provider Name | The Cromwell Co. |
| Contact Name | Amber Spriggs |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1725 Columbus Waco, Texas 76701 Map It |
| Phone | (254) 752-9667 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $45.00 |
| Bank Fees | No |
| Receipt Amount | $45.00 |
| Receipt Date | 09/13/2023 |
| Comments | application fee paid to Cromwell |
| Receipt | 39768-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 |
