| Payment ID | 62186 |
|---|---|
| Date Created | 03/19/24 1:16 pm |
| Created By | Gloria Jimenez |
| Service Request | 61447 |
| Application ID | 17174 |
| Authorization Number | 223654 |
| 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 | Security Deposits |
| Provider Name | Bentwood Properties |
| Provider Contact Person | Rochelle Pullen |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 307-7368 |
| Address of Client Unit | 3616 Windsor Ave Waco, Texas 76708 Map It |
| Address for Payment | 601 Lake Air Drive Waco, Texas 76610 Map It |
| Acceptable Method of Payment | certified check, money order |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 03/16/2024 |
| Comments | security deposit paid to Bentwood 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 | 03/19/2024 |
