| Payment ID | 39905 |
|---|---|
| Date Created | 09/18/23 2:18 pm |
| Created By | Gloria Jimenez |
| Service Request | 38785 |
| Application ID | 24166 |
| Authorization Number | 222542 |
| Applicant Information | |
| Name | Dinesti Ellison |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 07466101578 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | William W Walker |
| Provider Contact Person | Pamela Neie |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 749-3266 |
| Address of Client Unit | 515 N State Hwy 6 Apt. 1 Marlin, Texas 76661 Map It |
| Address for Payment | 101 Thompson Circle Lorena, Texas 76665 Map It |
| Acceptable Method of Payment | Check or Money Order |
| Payment Details | |
| Payment Amount | $750.00 |
| Bank Fees | No |
| Receipt Amount | $755.00 |
| Receipt Date | 09/13/2023 |
| Comments | security deposit paid to William Walker plus a bank fee of $5.00 for certified check |
| Receipt | 39905-Ellison.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/18/2023 |
