| Payment ID | 67718 |
|---|---|
| Date Created | 05/30/24 1:34 pm |
| Created By | Gloria Jimenez |
| Service Request | 67261 |
| Application ID | 7850 |
| Authorization Number | 223859 |
| Applicant Information | |
| Name | Alexis Kunish |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700636 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Provider | Revolutionary Impact LLC |
| Contact Name | Chris Bowling |
| Email hidden; Javascript is required. | |
| Address of Client Unit | 3007 Homan Waco, Texas 76707 Map It |
| Address for Payment | Drop @ WHA 4400 Cobbs Dr. Waco, Texas 76706 Map It |
| Acceptable Method of Payment | Check / cashier's check |
| Payment Details | |
| Payment Amount | $200.00 |
| Bank Fees | No |
| Receipt Amount | $201.00 |
| Receipt Date | 05/29/2024 |
| Comments | pet fee paid to Revolutionary Impact LLC in the amount of $200 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2024 |
