| Payment ID | 49040 |
|---|---|
| Date Created | 12/18/23 2:04 pm |
| Created By | Gloria Jimenez |
| Service Request | 48767 |
| Application ID | 46710 |
| Authorization Number | 223106 |
| Applicant Information | |
| Name | Tomaya Hutchinson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002688 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Home River Group |
| Provider Contact Person | Tanya Peachee |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (469) 545-1206 |
| Address of Client Unit | 1601 N 7th St Waco, Texas 76707 Map It |
| Address for Payment | PO Box 190420 Boise, Idaho 83719 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,525.00 |
| Bank Fees | No |
| Receipt Amount | $1,530.00 |
| Receipt Date | 12/18/2023 |
| Comments | SECURITY DEPOSIT PAID TO HOME RIVER GROUP 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 | 12/18/2023 |
