| Payment ID | 65130 |
|---|---|
| Date Created | 04/30/24 11:27 am |
| Created By | Gloria Jimenez |
| Service Request | 63103 |
| Application ID | 60098 |
| Authorization Number | |
| Applicant Information | |
| Name | Shanavia Thompson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170703046 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Cromwell Management |
| Contact Name | Amber |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1725 Columbus Ave Waco, Texas 76701 Map It |
| Phone | (254) 752-9667 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $45.00 |
| Bank Fees | No |
| Receipt Amount | -$45.00 |
| Receipt Date | 04/10/2024 |
| Comments | refund from Cromwell |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/30/2024 |
