| Payment ID | 44640 |
|---|---|
| Date Created | 11/14/23 2:58 pm |
| Created By | Gloria Jimenez |
| Service Request | 43343 |
| Application ID | 21528 |
| Authorization Number | 222812 |
| Applicant Information | |
| Name | DeLicia Gibson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801474 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Pete Arvizu Jr. |
| Provider Contact Person | Pete |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 722-8751 |
| Address of Client Unit | 2200 Mitchell Waco, Texas 76708 Map It |
| Address for Payment | 113 Painted Horse TRL Waco, Texas 76712 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 Pete Arvizu, plus a bank fee of $5.00 for certified check |
| Receipt | 44640-Gibson.pdf |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/14/2023 |
