| Payment ID | 60478 |
|---|---|
| Date Created | 03/05/24 9:54 am |
| Created By | Gloria Jimenez |
| Service Request | 60012 |
| Application ID | 2654 |
| Authorization Number | 223589 |
| Applicant Information | |
| Name | Jacqueline Moore |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000248 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Pete Arvizu, Jr |
| Provider Contact Person | Pete Arvizu, Jr |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 315-1124 |
| Address of Client Unit | 2704 Windsor Waco, Texas 76708 Map It |
| Address for Payment | Pick up at WHA 113 Painted Horse Trl Waco, Texas 76712 Map It |
| Acceptable Method of Payment | money order, check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 03/04/2024 |
| Comments | Security deposit paid to Pete Arvizu plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/05/2024 |
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