| Payment ID | 45686 |
|---|---|
| Date Created | 11/27/23 11:32 am |
| Created By | Gloria Jimenez |
| Service Request | 44933 |
| Application ID | 43575 |
| Authorization Number | 222934 |
| Applicant Information | |
| Name | Syreeta Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171202545 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | 5100 Hawthorne LLC |
| Provider Contact Person | Todd Becker |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 772-3530 |
| Address of Client Unit | 5100 Hawthorne Dr, Apt 712 Waco, Texas 76710 Map It |
| Address for Payment | 5100 Hawthorne Drive Waco, Texas 76710 Map It |
| Acceptable Method of Payment | certified check, money order |
| Payment Details | |
| Payment Amount | $1,650.00 |
| Bank Fees | No |
| Receipt Amount | $1,655.00 |
| Receipt Date | 11/27/2023 |
| Comments | security deposit paid to 5100 Hawthorne LLC, plus a bank fee of $5.00 for certified check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/27/2023 |
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