| Payment ID | 47340 |
|---|---|
| Date Created | 12/06/23 11:29 am |
| Created By | Gloria Jimenez |
| Service Request | 46461 |
| Application ID | 44769 |
| Authorization Number | 223016 |
| Applicant Information | |
| Name | Malissa Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002609 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Cromwell Compnay |
| Provider Contact Person | Amber |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (265) 752-9667 |
| Address of Client Unit | 701 n barbara waco, Texas 76705 Map It |
| Address for Payment | 1725 Columbus Avenue Waco, Texas 76701 Map It |
| Acceptable Method of Payment | Money order |
| Payment Details | |
| Payment Amount | $1,595.00 |
| Bank Fees | No |
| Receipt Amount | $1,600.00 |
| Receipt Date | 12/05/2023 |
| Comments | security deposit paid to Cromwell plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/06/2023 |
