| Payment ID | 69059 |
|---|---|
| Date Created | 06/17/24 10:19 am |
| Created By | Gloria Jimenez |
| Service Request | 68886 |
| Application ID | 66622 |
| Authorization Number | 223956 |
| Applicant Information | |
| Name | Taylor Weaver |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16165703292 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Provider | NeighborWorks Waco |
| Contact Name | Karen Saucedo |
| Email hidden; Javascript is required. | |
| Address of Client Unit | 205 Lee Lane Lorena, Texas 76655 Map It |
| Address for Payment | 922 Franklin Ave. Waco, Texas 76701 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $250.00 |
| Bank Fees | No |
| Receipt Amount | $500.00 |
| Receipt Date | 06/17/2024 |
| Comments | pet deposit paid in the amount of $500 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 | 06/17/2024 |
