| Payment ID | 47337 |
|---|---|
| Date Created | 12/06/23 11:22 am |
| Created By | Gloria Jimenez |
| Service Request | 46567 |
| Application ID | 43338 |
| Authorization Number | 223040 |
| Applicant Information | |
| Name | ADELLA LUJAN |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170602525 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Gabriel Martinez |
| Provider Contact Person | Gabriel Martinez |
| Phone | (254) 424-3839 |
| Address of Client Unit | 1109 N 10th St WACO, Texas 76708 Map It |
| Address for Payment | 1540 McKenzie WACO, Texas 76708 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | No |
| Receipt Amount | $1,205.00 |
| Receipt Date | 12/05/2023 |
| Comments | security deposit paid to Gabriel Martinez plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/06/2023 |
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