| Payment ID | 43007 |
|---|---|
| Date Created | 10/25/23 11:02 am |
| Created By | Gloria Jimenez |
| Service Request | 42417 |
| Application ID | 20463 |
| Authorization Number | 222745 |
| Applicant Information | |
| Name | Alexis Wyatt |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601422 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Passariello Management LLC |
| Contact Name | Emmie |
| Contact Email | Email hidden; Javascript is required. |
| Address | 605 N Gray St Killeen, Texas 76541 Map It |
| Phone | (254) 245-9925 |
| Acceptable Method of Payment | money order, check |
| Payment Details | |
| Payment Amount | $40.00 |
| Bank Fees | No |
| Receipt Amount | $40.00 |
| Receipt Date | 10/24/2023 |
| Comments | application fee paid |
| Receipt | 43007-Wyatt.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/25/2023 |
