| Payment ID | 65117 |
|---|---|
| Date Created | 04/30/24 11:08 am |
| Created By | Gloria Jimenez |
| Service Request | 64969 |
| Application ID | 62722 |
| Authorization Number | 223785 |
| Applicant Information | |
| Name | Crystal Walker |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164003135 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | QSM Consulting, LLC |
| Provider Contact Person | Quinlan Moran |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (805) 607-5465 |
| Address of Client Unit | 3109 Mitchell Avenue Waco, Texas 76708 Map It |
| Address for Payment | Will 4913 Terry Drive Ventura, California 93003 Map It |
| Acceptable Method of Payment | certified check, money order |
| Payment Details | |
| Payment Amount | $1,850.00 |
| Bank Fees | No |
| Receipt Amount | $1,855.00 |
| Receipt Date | 04/29/2024 |
| Comments | security deposit paid to QSM Consulting in the amount of $1,850.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/30/2024 |
