| Payment ID | 63696 |
|---|---|
| Date Created | 04/10/24 4:17 pm |
| Created By | Gloria Jimenez |
| Service Request | 62917 |
| Application ID | 59255 |
| Authorization Number | 223736 |
| Applicant Information | |
| Name | Anquanae Mccullen |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503026 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | 254 Capital Group |
| Provider Contact Person | Ashley Bates |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 424-4046 |
| Address of Client Unit | 12 Addie Ln. Waco, Texas 76705 Map It |
| Address for Payment | PO Box 1029 Hewitt, Texas 76643 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $900.00 |
| Bank Fees | No |
| Receipt Amount | $905.00 |
| Receipt Date | 04/10/2024 |
| Comments | security deposit paid to 254 Capital Group plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2024 |
