| Payment ID | 69064 |
|---|---|
| Date Created | 06/17/24 10:55 am |
| Created By | Gloria Jimenez |
| Service Request | 68824 |
| Application ID | 65826 |
| Authorization Number | 223963 |
| Applicant Information | |
| Name | michael morrison |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170603265 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | 106 N Lacy LLC |
| Provider Contact Person | Kaite |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 300-4213 |
| 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 | cashier's 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 106 N Lacy LLC in the amount of $1,000 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/17/2024 |
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