| Payment ID | 39912 |
|---|---|
| Date Created | 09/18/23 2:51 pm |
| Created By | Gloria Jimenez |
| Service Request | 39209 |
| Application ID | 38856 |
| Authorization Number | 222579 |
| Applicant Information | |
| Name | Judith Matthews |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16168202320 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Betty Hodge |
| Provider Contact Person | Betty Hodge |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 722-1631 |
| Address of Client Unit | 11348 E Hwy 6 Riesel, Texas 76682 Map It |
| Address for Payment | 518 FM 2307 Marlin, Texas 76661 Map It |
| Acceptable Method of Payment | check, money order |
| 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 Betty Hodge plus a bank fee of $5.00 for certified check |
| Receipt | 39912-Matthews.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 |
