| Payment ID | 65935 |
|---|---|
| Date Created | 05/09/24 1:20 pm |
| Created By | Gloria Jimenez |
| Service Request | 65012 |
| Application ID | 28380 |
| Authorization Number | 223787 |
| Applicant Information | |
| Name | Danielle Byers |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16165501803 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Fubakaze Holdings, LLC |
| Provider Contact Person | Rob Perring |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (475) 271-7952 |
| Address of Client Unit | 33 Addi Lane Lacy Lakeview, Texas 76705 Map It |
| Address for Payment | 609 Castle Ridge Road, Ste # 320 Austin, Texas 78746 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $2,500.00 |
| Bank Fees | No |
| Receipt Amount | $2,505.00 |
| Receipt Date | 05/09/2024 |
| Comments | security deposit paid to Fubakaze Holdings, LLC in the amount of $2,500 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 | 05/09/2024 |
