| Payment ID | 50328 |
|---|---|
| Date Created | 01/04/24 4:09 pm |
| Created By | Gloria Jimenez |
| Service Request | 49674 |
| Application ID | 40079 |
| Authorization Number | 223147 |
| Applicant Information | |
| Name | Tearra Norman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002397 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Bentwood |
| Contact Name | Rochelle Pullen |
| Contact Email | Email hidden; Javascript is required. |
| Address | 601 lake Air Drive waco, Texas 76710 Map It |
| Phone | (254) 307-7368 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $50.00 |
| Receipt Date | 01/03/2024 |
| Comments | application fee paid to Bentwood |
| Receipt | 50328-Norman.pdf |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/04/2024 |
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