| Payment ID | 46127 |
|---|---|
| Date Created | 11/29/23 1:15 pm |
| Created By | Gloria Jimenez |
| Service Request | 45794 |
| Application ID | 41822 |
| Authorization Number | 222967 |
| Applicant Information | |
| Name | Brittany Coley |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170402470 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Blukey |
| Provider Contact Person | Tina Nguyen |
| Phone | (714) 232-6368 |
| Address of Client Unit | 209 Rose Street Waco, Texas 76704 Map It |
| Address for Payment | 4716 W Waco Dr Waco, Texas 76712 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,400.00 |
| Bank Fees | No |
| Receipt Amount | $1,405.00 |
| Receipt Date | 11/29/2023 |
| Comments | security deposit paid to Blukey plus a bank fee of $5.00 for cashier's check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/29/2023 |
