| Payment ID | 47424 |
|---|---|
| Date Created | 12/06/23 1:43 pm |
| Created By | Gloria Jimenez |
| Service Request | 46231 |
| Application ID | 44175 |
| Authorization Number | 223006 |
| Applicant Information | |
| Name | Lachloee Anderson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802580 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Spazz Andy LLC |
| Provider Contact Person | Maura Shipman |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 424-3473 |
| Address of Client Unit | 3729 Cumberland Ave Waco, Texas 76707 Map It |
| Address for Payment | 710 Deer Ridge Dr Woodway, Texas 76712 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 Spazz Andy LLC plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/06/2023 |
