| Payment ID | 68889 |
|---|---|
| Date Created | 06/13/24 9:43 am |
| Created By | Gloria Jimenez |
| Service Request | 68415 |
| Application ID | 12360 |
| Authorization Number | 223932 |
| Applicant Information | |
| Name | Cornessia Hicks |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16165700956 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | South Terrace |
| Provider Contact Person | Ashley |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 752-0324 |
| Address of Client Unit | 2622 South 12th Waco, Texas 76706 Map It |
| Address for Payment | 2616 South 12th Waco, Texas 76706 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $300.00 |
| Bank Fees | No |
| Receipt Amount | $300.00 |
| Receipt Date | 06/12/2024 |
| Comments | security deposit paid to South Terrace plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/13/2024 |
