| Payment ID | 41273 |
|---|---|
| Date Created | 10/05/23 10:15 am |
| Created By | Gloria Jimenez |
| Service Request | 40251 |
| Application ID | 39603 |
| Authorization Number | 222635 |
| Applicant Information | |
| Name | Candace Simmons |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 11064502361 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Waco All Bills Paid - Tucker Apts. |
| Provider Contact Person | Shannon Harper |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 582-2775 |
| Address of Client Unit | 214 S Waco St. Apt. 10 Hillsboro, Texas 76645 Map It |
| Address for Payment | PO Box 7660 Waco, Texas 76714 Map It |
| Acceptable Method of Payment | Check or Money Order |
| Payment Details | |
| Payment Amount | $650.00 |
| Bank Fees | No |
| Receipt Amount | $655.00 |
| Receipt Date | 10/03/2023 |
| Comments | security deposit paid to Waco All Bills Paid, plus a bank fee of $5.00 for certified check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/05/2023 |
