| Payment ID | 40502 |
|---|---|
| Date Created | 09/26/23 4:33 pm |
| Created By | Gloria Jimenez |
| Service Request | 40232 |
| Application ID | 39584 |
| Authorization Number | 222632 |
| Applicant Information | |
| Name | Willie R Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802360 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Kenny Morgan |
| Provider Contact Person | Kenny |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 732-1439 |
| Address of Client Unit | 3510 N. Windsor Waco, Texas 76708 Map It |
| Address for Payment | 4400 Cobbs Dr Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,000.00 |
| Receipt Date | 09/25/2023 |
| Comments | security deposit paid to Kenny Morgan |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/26/2023 |
