| Payment ID | 49053 |
|---|---|
| Date Created | 12/18/23 2:53 pm |
| Created By | Gloria Jimenez |
| Service Request | 48528 |
| Application ID | 41053 |
| Authorization Number | 223100 |
| Applicant Information | |
| Name | Jastiny Jackson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002437 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | The Cove on 21st |
| Provider Contact Person | Caisy Carter |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 756-5855 |
| Address of Client Unit | 2425 S 21st St. Apt. 433 Waco, Texas 76706 Map It |
| Address for Payment | 2425 S 21st St. Waco, Texas 76706 Map It |
| Acceptable Method of Payment | Money order or cashier check |
| Payment Details | |
| Payment Amount | $550.00 |
| Bank Fees | No |
| Receipt Amount | $555.00 |
| Receipt Date | 12/18/2023 |
| Comments | security deposit paid to The Cove on 21st plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/18/2023 |
