| Payment ID | 63698 |
|---|---|
| Date Created | 04/10/24 4:22 pm |
| Created By | Gloria Jimenez |
| Service Request | 62866 |
| Application ID | 57923 |
| Authorization Number | 223733 |
| Applicant Information | |
| Name | Candice Rodgers |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002958 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Costa Esmeralda |
| Provider Contact Person | Starlet Pope |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 757-2163 |
| Address of Client Unit | 1516 Gurley Ln. - Apt # 4-101 Waco, Texas 76706 Map It |
| Address for Payment | 1516 Gurley Ln. Waco, Texas 76706 Map It |
| Acceptable Method of Payment | money order, check |
| Payment Details | |
| Payment Amount | $350.00 |
| Bank Fees | No |
| Receipt Amount | $350.00 |
| Receipt Date | 04/10/2024 |
| Comments | application fee to Costa Esmeralda |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2024 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs