| Payment ID | 45380 |
|---|---|
| Date Created | 11/21/23 12:28 pm |
| Created By | Gloria Jimenez |
| Service Request | 44627 |
| Application ID | 42935 |
| Authorization Number | 222899 |
| Applicant Information | |
| Name | LaKeena Fowler |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170702511 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Julio Rojas |
| Provider Contact Person | Julio Rojas |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 300-1413 |
| Address of Client Unit | 5620 Moose Jaw Cir Unit A Waco, Texas 76708 Map It |
| Address for Payment | 119 Park Meadows Drive Waxahachie, Texas 75165 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $2,099.00 |
| Bank Fees | No |
| Receipt Amount | $2,100.00 |
| Receipt Date | 11/20/2023 |
| Comments | security deposit paid to Julio Rojas plus a bank fee of $5.00 for cashier's check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/21/2023 |
