| Payment ID | 59144 |
|---|---|
| Date Created | 02/20/24 1:27 pm |
| Created By | Gloria Jimenez |
| Service Request | 57282 |
| Application ID | 50718 |
| Authorization Number | 223359 |
| Applicant Information | |
| Name | Montina Barlow |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170402808 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Dripping Springs Senior Village |
| Provider Contact Person | Regina Horton |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 412-2262 |
| Address of Client Unit | 2405 JJ Flewellen Rd #1903 Waco, Texas 76704 Map It |
| Address for Payment | 2405 JJ Flewellen Rd Waco, Texas 76704 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 02/13/2024 |
| Comments | security deposit paid to Dripping Springs Senior Village plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/20/2024 |
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