| Payment ID | 48433 |
|---|---|
| Date Created | 12/13/23 1:35 pm |
| Created By | Gloria Jimenez |
| Service Request | 47641 |
| Application ID | 46522 |
| Authorization Number | 223056 |
| Applicant Information | |
| Name | Damon DeGrate |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170702680 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Janice Barrett |
| Provider Contact Person | Janice Barrett |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 855-3050 |
| Address of Client Unit | 4028 Cumberland Street Waco, Texas 76707 Map It |
| Address for Payment | 1901 Mahalia Drive Waco, Texas 76705 Map It |
| Acceptable Method of Payment | Money Order |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | No |
| Receipt Amount | $1,205.00 |
| Receipt Date | 12/12/2023 |
| Comments | security deposit paid to Janice Barrett plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/13/2023 |
