| Payment ID | 48158 |
|---|---|
| Date Created | 12/12/23 11:39 am |
| Created By | Gloria Jimenez |
| Service Request | 46270 |
| Application ID | 31557 |
| Authorization Number | 223017 |
| Applicant Information | |
| Name | LaQuisha Fountain |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801982 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | City of Waco Water |
| Provider Email | Email hidden; Javascript is required. |
| Website | waco-texas.com |
| Address of Client Unit | 1537 McKenzie Ave B Waco, Texas 76708 Map It |
| Address for Payment | 425 Franklin Ave Waco, Texas 76701 Map It |
| Account Number | 388512-623903 |
| Acceptable Method of Payment | credit card |
| Payment Details | |
| Payment Amount | $237.50 |
| Receipt Amount | $237.50 |
| Receipt Date | 12/11/2023 |
| Comments | City of Waco Water paid |
| Receipt | 48158-Fountain.pdf |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/12/2023 |
