| Payment ID | 68460 |
|---|---|
| Date Created | 06/10/24 3:02 pm |
| Created By | Gloria Jimenez |
| Service Request | 68310 |
| Application ID | 58440 |
| Authorization Number | 223926 |
| Applicant Information | |
| Name | Tracy White |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502987 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Provider | 106 N Lacy LLC |
| Contact Name | Katie |
| Email hidden; Javascript is required. | |
| Address of Client Unit | 106-G New Dallas Hwy Lacy Lakeview, Texas 76705 Map It |
| Address for Payment | 4801 Sanger Ave. 47 Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $505.00 |
| Receipt Date | 06/11/2024 |
| Comments | pet deposit paid to 106 N Lacy LLC plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/10/2024 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs