| Payment ID | 42909 |
|---|---|
| Date Created | 10/24/23 2:19 pm |
| Created By | Gloria Jimenez |
| Service Request | 42736 |
| Application ID | 40685 |
| Authorization Number | 222762 |
| Applicant Information | |
| Name | Tyronica Edwards |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002421 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Waco Blue Lagoon Properties LLC |
| Provider Contact Person | Ghada Tamimi |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 495-2006 |
| Address of Client Unit | 528 Camp Dr Waco, Texas 76710 Map It |
| Address for Payment | 4600 Pine Ave Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $700.00 |
| Bank Fees | No |
| Receipt Amount | $700.00 |
| Receipt Date | 10/24/2023 |
| Comments | security deposit paid to Waco Blue Lagoon Properties LLC |
| Receipt | 42909-Edwards.pdf |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/24/2023 |
