| Payment ID | 67724 |
|---|---|
| Date Created | 05/30/24 1:44 pm |
| Created By | Gloria Jimenez |
| Service Request | 67022 |
| Application ID | 18279 |
| Authorization Number | 223842 |
| Applicant Information | |
| Name | Tia Parish |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170301323 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Triliji Group |
| Contact Name | Christy Petterson |
| Contact Email | Email hidden; Javascript is required. |
| Address | 5401 Crooslake Pkwy Ste #100 waco, Texas 76712 Map It |
| Phone | (254) 757-0663 |
| Acceptable Method of Payment | cashiers check |
| Payment Details | |
| Payment Amount | $40.00 |
| Bank Fees | No |
| Receipt Amount | $41.00 |
| Receipt Date | 05/29/2024 |
| Comments | application fee paid to Triliji in the amount of $40 plus a bank fee of $1.00 |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2024 |
