| Payment ID | 65157 |
|---|---|
| Date Created | 04/30/24 12:38 pm |
| Created By | Gloria Jimenez |
| Service Request | 62802 |
| Application ID | 16564 |
| Authorization Number | 223735 |
| Applicant Information | |
| Name | Jami Monroy Santiago |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 14766701235 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | City of Bellmead |
| Provider Email | Email hidden; Javascript is required. |
| Address of Client Unit | 1623 San Jacinto St. Waco, Texas 76705 Map It |
| Address for Payment | 3015 Bellmead Dr. Waco, Texas 76705 Map It |
| Account Number | N/A |
| Acceptable Method of Payment | Credit Card |
| Payment Details | |
| Payment Amount | $275.00 |
| Receipt Amount | $275.00 |
| Receipt Date | 04/25/2024 |
| Comments | City of Bellmead paid |
| Receipt | 65157-Monroy-Santiago.pdf |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/30/2024 |
