| Payment ID | 70614 |
|---|---|
| Date Created | 07/03/24 9:48 am |
| Created By | Gloria Jimenez |
| Service Request | 69074 |
| Application ID | 63678 |
| Authorization Number | 223981 |
| 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 | Application Fees |
| Provider Name | Josh Portz |
| Contact Name | Josh Portz |
| Contact Email | Email hidden; Javascript is required. |
| Address | P.O. Box 341422 Austin, Texas 78734 Map It |
| Phone | (928) 920-5952 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $40.00 |
| Bank Fees | No |
| Receipt Amount | $41.00 |
| Receipt Date | 07/02/2024 |
| Comments | application fee paid to Josh portz plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/03/2024 |
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