| Payment ID | 60497 |
|---|---|
| Date Created | 03/05/24 10:43 am |
| Created By | Gloria Jimenez |
| Service Request | 59675 |
| Application ID | 17174 |
| Authorization Number | 223556 |
| Applicant Information | |
| Name | Conquia Roberts |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170101273 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Bentwood Properties |
| Contact Name | J Westerfelt |
| Contact Email | Email hidden; Javascript is required. |
| Address | 601 Lake Air Drive Waco, Texas 76657 Map It |
| Phone | (254) 307-7368 |
| Acceptable Method of Payment | Money Order, check |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $50.00 |
| Receipt Date | 03/04/2024 |
| Comments | application fee paid to Bentwood Properties |
| 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