| Payment ID | 67874 |
|---|---|
| Date Created | 06/03/24 9:33 am |
| Created By | Gloria Jimenez |
| Service Request | 67467 |
| Application ID | 65835 |
| Authorization Number | 223872 |
| Applicant Information | |
| Name | Angelia Patterson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170403266 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Joshua Portz |
| Provider Contact Person | Joshua Portz |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (928) 920-5952 |
| Address of Client Unit | 208 Perry St. Apt #26 Marlin, Texas 76661 Map It |
| Address for Payment | Mail to: PO Box 341422 Austin, Texas 78734 Map It |
| Acceptable Method of Payment | Cashier's Check |
| Payment Details | |
| Payment Amount | $675.00 |
| Bank Fees | No |
| Receipt Amount | $680.00 |
| Receipt Date | 05/31/2024 |
| Comments | security deposit paid to Joshua Portz in the amount of $675.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/03/2024 |
