| Payment ID | 63682 |
|---|---|
| Date Created | 04/10/24 3:31 pm |
| Created By | Gloria Jimenez |
| Service Request | 61850 |
| Application ID | 58785 |
| Authorization Number | 223680 |
| Applicant Information | |
| Name | Deborah Armstead |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170803001 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Carl E Swanson III |
| Provider Contact Person | Carl Swanson |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 722-5251 |
| Address of Client Unit | 1325 Selman St WACO, Texas 76704 Map It |
| Address for Payment | P.O. Box 154008 Waco, Texas 76715 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 04/10/2024 |
| Comments | security deposit paid to Carl E. Swanson 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 | 04/10/2024 |
