| Payment ID | 63685 |
|---|---|
| Date Created | 04/10/24 3:37 pm |
| Created By | Gloria Jimenez |
| Service Request | 62469 |
| Application ID | 58425 |
| Authorization Number | 223718 |
| Applicant Information | |
| Name | Priscilla Duron |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170602985 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Rosa Rodriguez |
| Provider Contact Person | Rosa Rodriguez |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 495-4487 |
| Address of Client Unit | 3116 Trice Ave Waco, Texas 76707 Map It |
| Address for Payment | Drop @ WHA 4400 Cobbs Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Cashier's check |
| Payment Details | |
| Payment Amount | $1,450.00 |
| Bank Fees | No |
| Receipt Amount | $1,455.00 |
| Receipt Date | 04/10/2024 |
| Comments | security deposit paid to Rosa Rodriguez plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2024 |
