| Payment ID | 72017 |
|---|---|
| Date Created | 07/18/24 11:37 am |
| Created By | Gloria Jimenez |
| Service Request | 71402 |
| Application ID | 31658 |
| Authorization Number | 224136 |
| Applicant Information | |
| Name | Sharon Slaughter |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801986 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | John Montez |
| Provider Contact Person | John Montez or Aide Scott |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 759-8600 |
| Address of Client Unit | 201 Majors Waco, Texas 76704 Map It |
| Address for Payment | 523 Herring Waco, Texas 76708 Map It |
| Acceptable Method of Payment | cashiers check or money order |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 07/15/2024 |
| Comments | security deposit paid to John Montez in the amount of $1,000 plus a bank fee of $5.00 for cashiers check |
| Receipt | 72017-Slaughter.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/18/2024 |
