| Payment ID | 46107 |
|---|---|
| Date Created | 11/29/23 12:30 pm |
| Created By | Gloria Jimenez |
| Service Request | 45462 |
| Application ID | 38077 |
| Authorization Number | 222955 |
| Applicant Information | |
| Name | Nadia Freeman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802282 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Conine Group Realtors, Inc |
| Contact Name | Bill Gohring |
| Address | 3802 W Waco Dr Waco, Texas 76710 Map It |
| Phone | (254) 752-6503 |
| Acceptable Method of Payment | Money Order or Cash |
| Payment Details | |
| Payment Amount | $25.00 |
| Bank Fees | No |
| Receipt Amount | $25.00 |
| Receipt Date | 11/29/2023 |
| Comments | application fee paid to Connie Realty |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/29/2023 |
