| Payment ID | 44369 |
|---|---|
| Date Created | 11/09/23 11:31 am |
| Created By | Gloria Jimenez |
| Service Request | 43713 |
| Application ID | 34777 |
| Authorization Number | 222843 |
| Applicant Information | |
| Name | Amanda Gonzales |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502141 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | J R Grace Realty |
| Contact Name | Patrick |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1401 Lake Air Dr waco, Texas 76710 Map It |
| Phone | (254) 655-6502 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $75.00 |
| Bank Fees | No |
| Receipt Amount | $75.00 |
| Receipt Date | 11/08/2023 |
| Comments | application fee paid to J R Grace |
| Receipt | 44369-Gonzales.pdf |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/09/2023 |
