| Payment ID | 73003 |
|---|---|
| Date Created | 07/30/24 11:28 am |
| Created By | Gloria Jimenez |
| Service Request | 72704 |
| Application ID | 69430 |
| Authorization Number | 224235 |
| Applicant Information | |
| Name | Chiniquah Cooper |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16100403399 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Cromwell Management |
| Contact Name | Ambe Spruggs |
| Contact Email | Email hidden; Javascript is required. |
| Address | 1725 Columbus Ave Waco, Texas 76701 Map It |
| Phone | (254) 752-9667 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $55.00 |
| Bank Fees | No |
| Receipt Amount | $56.00 |
| Receipt Date | 07/29/2024 |
| Comments | application fee paid to Cromwell Management in the amount of $55.00 plus a bank fee of $1.00 for money order |
| Receipt | 73003-Cooper.pdf |
| Staff Name | Gloria |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/30/2024 |
