| Payment ID | 69213 |
|---|---|
| Date Created | 06/18/24 1:24 pm |
| Created By | Gloria Jimenez |
| Service Request | 68820 |
| Application ID | 68083 |
| Authorization Number | 223964 |
| 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 | Pet Deposits |
| Provider | 4801 Sanger LLC |
| Contact Name | Katie Davis |
| Email hidden; Javascript is required. | |
| 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 | $250.00 |
| Bank Fees | No |
| Receipt Amount | $251.00 |
| Receipt Date | 06/17/2024 |
| Comments | pet deposit paid to 4801 Sanger LLC plus a bank fee of $1.00 |
| Receipt | 69213-Willis.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/18/2024 |
