| Payment ID | 49075 |
|---|---|
| Date Created | 12/18/23 4:08 pm |
| Created By | Gloria Jimenez |
| Service Request | 48921 |
| Application ID | 46426 |
| Authorization Number | 223117 |
| Applicant Information | |
| Name | Moses Martinez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170702679 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Cromwell Company |
| Contact Name | Amber |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1704 West Avenue Waco, Texas 76707 Map It |
| Phone | (254) 752-9667 |
| Acceptable Method of Payment | check, money order |
| Payment Details | |
| Payment Amount | $45.00 |
| Bank Fees | No |
| Receipt Amount | $45.00 |
| Receipt Date | 12/18/2023 |
| Comments | application fee paid to Cromwell |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/18/2023 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs