| Payment ID | 71135 |
|---|---|
| Date Created | 07/09/24 11:01 am |
| Created By | Gloria Jimenez |
| Service Request | 70420 |
| Application ID | 67363 |
| Authorization Number | 224078 |
| Applicant Information | |
| Name | Ivoryanna Carter |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503318 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Home River Group |
| Provider Contact Person | Shannon Ives |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (855) 744-4268 |
| Address of Client Unit | 1412 Proctor Avenue Waco, Texas 76708 Map It |
| Address for Payment | PO Box 190420 Boise, Idaho 83719 Map It |
| Acceptable Method of Payment | certified check, money order |
| Payment Details | |
| Payment Amount | $1,595.00 |
| Bank Fees | No |
| Receipt Amount | $1,600.00 |
| Receipt Date | 07/08/2024 |
| Comments | Security deposit paid to Home River Group plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/09/2024 |
