| Payment ID | 67741 |
|---|---|
| Date Created | 05/30/24 2:22 pm |
| Created By | Gloria Jimenez |
| Service Request | 67418 |
| Application ID | 61838 |
| Authorization Number | 223864 |
| Applicant Information | |
| Name | Myazia Carr |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170603096 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | 4801 Sanger LLC |
| Provider Contact Person | Katie |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 300-4213 |
| Address of Client Unit | 4801 Sanger Ave # 8 Waco, Texas 76710 Map It |
| Address for Payment | 4801 Sanger Ave # 47 Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,150.00 |
| Bank Fees | No |
| Receipt Amount | $1,155.00 |
| Receipt Date | 05/29/2024 |
| Comments | Security deposit paid in the amount of $1,150.00 plus a bank deposit 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 | 05/30/2024 |
