| Payment ID | 66245 |
|---|---|
| Date Created | 05/14/24 9:38 am |
| Created By | Gloria Jimenez |
| Service Request | 65991 |
| Application ID | 44474 |
| Authorization Number | 223813 |
| Applicant Information | |
| Name | LaCasey Jackson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170602594 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | The Bend at New Road |
| Provider Contact Person | Melissa Oxford |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 224-6563 |
| Address of Client Unit | 3000 South New Road Apt 312 Waco, Texas 76706 Map It |
| Address for Payment | 3000 South New Road Waco, Texas 76706 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $150.00 |
| Bank Fees | No |
| Receipt Amount | $151.00 |
| Receipt Date | 05/14/2024 |
| Comments | Security Deposit paid to The Bend at New Road plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/14/2024 |
