| Payment ID | 63690 |
|---|---|
| Date Created | 04/10/24 3:50 pm |
| Created By | Gloria Jimenez |
| Service Request | 62643 |
| Application ID | 58223 |
| Authorization Number | 223730 |
| Applicant Information | |
| Name | Twyla Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502979 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Denise Morgan |
| Provider Contact Person | Densie Morgan |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 723-1437 |
| Address of Client Unit | 2720 Gorman Waco, Texas 76707 Map It |
| Address for Payment | Deliver to: WHA 4400 Cobbs Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Cashier's check |
| Payment Details | |
| Payment Amount | $1,500.00 |
| Bank Fees | No |
| Receipt Amount | $1,505.00 |
| Receipt Date | 04/10/2024 |
| Comments | security deposit paid to Denise Morgan 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 |
