| Payment ID | 68480 |
|---|---|
| Date Created | 06/10/24 3:44 pm |
| Created By | Gloria Jimenez |
| Service Request | 68163 |
| Application ID | 58440 |
| Authorization Number | 223913 |
| 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 | Application Fees |
| Provider Name | 106 N Lacy LLC |
| Contact Name | Katie |
| Contact Email | Email hidden; Javascript is required. |
| Address | 4801 Sanger Ave. 47 Waco, Texas 76710 Map It |
| Phone | (254) 300-4213 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $100.00 |
| Bank Fees | No |
| Receipt Amount | $101.00 |
| Receipt Date | 06/10/2024 |
| Comments | application fee paid to 106 N. Lacy LLC plus a bank fee of $1.00 for money order |
| 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 |
