| Payment ID | 58923 |
|---|---|
| Date Created | 02/16/24 1:26 pm |
| Created By | Gloria Jimenez |
| Service Request | 57503 |
| Application ID | 45269 |
| Authorization Number | 223398 |
| Applicant Information | |
| Name | Alicia Harrison |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170702624 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Asset Living |
| Contact Name | Caisy Carter, Kenah Frisson or Jodi Sullivan |
| Contact Email | Email hidden; Javascript is required. |
| Address | 2425 S 21st Street Waco, Texas 76706 Map It |
| Phone | (254) 756-5855 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $50.00 |
| Receipt Date | 02/13/2024 |
| Comments | application fee paid to Asset Living |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/16/2024 |
