| Payment ID | 39892 |
|---|---|
| Date Created | 09/18/23 12:19 pm |
| Created By | Gloria Jimenez |
| Service Request | 38572 |
| Application ID | 38357 |
| Authorization Number | 222533 |
| Applicant Information | |
| Name | ShunTazia Henry ShunTazia |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502293 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Butler Management |
| Provider Contact Person | J Mathews |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 420-4663 |
| Address of Client Unit | 4010 Torrence Waco, Texas 76705 Map It |
| Address for Payment | 207 SUN VALLEY BLVD Hewitt, Texas 76643 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 09/13/2023 |
| Comments | security deposit paid to Butler Management. plus a bank fee of $5.00 for certified check |
| Receipt | 39892-ShunTazia.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/18/2023 |
