| Payment ID | 44545 |
|---|---|
| Date Created | 11/14/23 10:43 am |
| Created By | Gloria Jimenez |
| Service Request | 43333 |
| Application ID | 31557 |
| Authorization Number | 222815 |
| 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 | Security Deposits |
| Provider Name | David Tan |
| Provider Contact Person | Tina Nguyen |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (714) 267-1919 |
| Address of Client Unit | 1537 McKenzie Waco, Texas 76708 Map It |
| Address for Payment | Bluekey TX LLC 4716 W Waco Dr Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 11/08/2023 |
| Comments | security deposit paid to David Tan, plus a bank fee of $5.00 for certified check |
| Receipt | 44545-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