| Payment ID | 63687 |
|---|---|
| Date Created | 04/10/24 3:44 pm |
| Created By | Gloria Jimenez |
| Service Request | 62676 |
| Application ID | 16564 |
| Authorization Number | 223729 |
| Applicant Information | |
| Name | Jami Monroy Santiago |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 14766701235 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Juan Delgado |
| Provider Contact Person | Juan Delgado |
| Phone | (254) 855-4237 |
| Address of Client Unit | 1623 San Jacinto St. Waco, Texas 76705 Map It |
| Address for Payment | 1100 Lewis St. Waco, Texas 76705 Map It |
| Acceptable Method of Payment | Check or Money Order |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 04/10/2024 |
| Comments | security deposit paid to Juan Delgado plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2024 |
