| Payment ID | 69062 |
|---|---|
| Date Created | 06/17/24 10:43 am |
| Created By | Gloria Jimenez |
| Service Request | 68819 |
| Application ID | 68083 |
| Authorization Number | 223965 |
| Applicant Information | |
| Name | Shauna Willis |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170403341 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | 4801 Sanger LLC |
| Provider Contact Person | Katie Davis |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 300-4213 |
| Address of Client Unit | 4801 Sanger Ave # 46A Waco, Texas 76710 Map It |
| Address for Payment | 4801 Sanger Ave # 47 Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 06/17/2024 |
| Comments | security deposit paid to 4801Sanger LLC in the amount of $1,000 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/17/2024 |
