| Payment ID | 42310 |
|---|---|
| Date Created | 10/17/23 12:35 pm |
| Created By | Gloria Jimenez |
| Service Request | 41823 |
| Application ID | 41445 |
| Authorization Number | 222712 |
| Applicant Information | |
| Name | Mariah Davilla |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802456 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | BLUKEY TX LLC |
| Provider Contact Person | Tina Nguyen |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (714) 267-1919 |
| Address of Client Unit | 3717 N 24th Waco, Texas 76708 Map It |
| Address for Payment | 4716 W West Waco Drive Waco, Texas 76712 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 | 10/16/2023 |
| Comments | payment made to Blukey Tx LLC plus a bank fee of $5.00 for certified check |
| Receipt | 42310-Davilla.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/17/2023 |
