| Payment ID | 71280 |
|---|---|
| Date Created | 07/10/24 9:53 am |
| Created By | Gloria Jimenez |
| Service Request | 70968 |
| Application ID | 68139 |
| Authorization Number | 224103 |
| Applicant Information | |
| Name | Joi Brown |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170603343 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Pet Deposits |
| Provider | JR Grace |
| Contact Name | Lacy Torres |
| Email hidden; Javascript is required. | |
| Address of Client Unit | 1914 Webster Waco, Texas 76706 Map It |
| Address for Payment | 1401 Lake Air Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $100.00 |
| Bank Fees | No |
| Receipt Amount | $101.00 |
| Receipt Date | 07/09/2024 |
| Comments | Pet deposit paid to jR Grace plus a bank fee of $1.00 for money order |
| Receipt | 71280-Brown.pdf |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/10/2024 |
