| Payment ID | 48495 |
|---|---|
| Date Created | 12/13/23 2:49 pm |
| Created By | Gloria Jimenez |
| Service Request | 47339 |
| Application ID | 46965 |
| Authorization Number | 223048 |
| Applicant Information | |
| Name | Teronica Smith |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002691 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Provider | Shipman Properties Waco |
| Contact Name | Maura Shipman |
| Email hidden; Javascript is required. | |
| Address of Client Unit | 3309 E Brookview Dr 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 | $250.00 |
| Bank Fees | No |
| Receipt Amount | $250.00 |
| Receipt Date | 12/12/2023 |
| Comments | pet deposit paid |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/13/2023 |
