| Payment ID | 51650 |
|---|---|
| Date Created | 01/10/24 10:32 am |
| Created By | Gloria Jimenez |
| Service Request | 48074 |
| Application ID | 39321 |
| Authorization Number | 223077 |
| Applicant Information | |
| Name | Shantella Green simmons |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170702343 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | City of Waco |
| Provider Email | Email hidden; Javascript is required. |
| Website | waco-texas.com |
| Address of Client Unit | 1510 JJ Flewellen Waco, Texas 76704 Map It |
| Address for Payment | 425 Franklin Ave Waco, Texas 76701 Map It |
| Account Number | 388684-11825 |
| Acceptable Method of Payment | card |
| Payment Details | |
| Payment Amount | $237.50 |
| Receipt Amount | $237.50 |
| Receipt Date | 01/09/2024 |
| Comments | City of Waco Water paid |
| Receipt | 51650-Green-simmons.pdf |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/10/2024 |
