| Payment ID | 65116 |
|---|---|
| Date Created | 04/30/24 11:03 am |
| Created By | Gloria Jimenez |
| Service Request | 64753 |
| Application ID | 20403 |
| Authorization Number | 223779 |
| Applicant Information | |
| Name | Dominique Rhodes |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601420 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Home River Group for RCGEN LLC |
| Provider Contact Person | Tonya Peachee |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (469) 545-1206 |
| Address of Client Unit | 1329 N 10th St Waco, Texas 76707 Map It |
| Address for Payment | PO BOX 190420 Boise, Idaho 83719 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,579.00 |
| Bank Fees | No |
| Receipt Amount | $1,584.00 |
| Receipt Date | 04/29/2024 |
| Comments | Security deposit paid to Home River Group in the amount of $1,579.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/30/2024 |
