| Payment ID | 43008 |
|---|---|
| Date Created | 10/25/23 11:16 am |
| Created By | Gloria Jimenez |
| Service Request | 42199 |
| Application ID | 31871 |
| Authorization Number | 222729 |
| Applicant Information | |
| Name | Demetrice Wilson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801997 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | JR GRACE |
| Contact Name | Patrick |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1401 lake air dr waco, Texas 76710 Map It |
| Phone | (254) 777-5577 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $130.00 |
| Bank Fees | No |
| Receipt Amount | $130.00 |
| Receipt Date | 10/24/2023 |
| Comments | application fee paid to J R Grace |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/25/2023 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs