| Payment ID | 44528 |
|---|---|
| Date Created | 11/14/23 9:57 am |
| Created By | Gloria Jimenez |
| Service Request | 43334 |
| Application ID | 31557 |
| Authorization Number | 222814 |
| Applicant Information | |
| Name | LaQuisha Fountain |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801982 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | David Tan |
| Contact Name | Tina Nguyen |
| Contact Email | Email hidden; Javascript is required. |
| Address | Bluekey TX LLC 4716 W Waco Dr Waco, Texas 76710 Map It |
| Phone | (714) 267-1919 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $43.50 |
| Bank Fees | No |
| Receipt Amount | $43.50 |
| Receipt Date | 11/08/2023 |
| Comments | application fee paid to David Tan |
| Receipt | 44528-Fountain.pdf |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/14/2023 |
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