| Payment ID | 69872 |
|---|---|
| Date Created | 06/25/24 4:24 pm |
| Created By | Gloria Jimenez |
| Service Request | 69073 |
| Application ID | 63678 |
| Authorization Number | 223982 |
| Applicant Information | |
| Name | LaShanda Lee-Mims |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503177 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Josh Portz |
| Provider Contact Person | Josh Portz |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (928) 920-5952 |
| Address of Client Unit | 208 Perry St. Apt 27 Marlin, Texas 76661 Map It |
| Address for Payment | PO Box 341422 Austin, Texas 78734 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $650.00 |
| Bank Fees | No |
| Receipt Amount | $655.00 |
| Receipt Date | 06/25/2024 |
| Comments | security deposit paid to Josh Portz 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 | 06/25/2024 |
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