| Payment ID | 44553 |
|---|---|
| Date Created | 11/14/23 11:14 am |
| Created By | Gloria Jimenez |
| Service Request | 43672 |
| Application ID | 41365 |
| Authorization Number | 222837 |
| Applicant Information | |
| Name | Lakeshia Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170702452 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Carl E Swanson, III |
| Provider Contact Person | Carl E Swanson, III |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 722-5251 |
| Address of Client Unit | 616 Carver Street Waco, Texas 76704 Map It |
| Address for Payment | PO BOX 154008 Waco, Texas 76715 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $875.00 |
| Bank Fees | No |
| Receipt Amount | $880.00 |
| Receipt Date | 11/08/2023 |
| Comments | security deposit paid to Carl Swanson III, plus a bank fee of $5.00 for certified check |
| Receipt | 44553-Johnson.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/14/2023 |
