| Payment ID | 74283 |
|---|---|
| Date Created | 08/12/24 9:22 am |
| Created By | Gloria Jimenez |
| Service Request | 72055 |
| Application ID | 70037 |
| Authorization Number | 224200 |
| Applicant Information | |
| Name | Raven Shelton |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503425 |
| Payment Type | Utility Deposits and Utility Reconnection Fees |
| Type of Service Request | Utility Deposits |
| Provider Name | City of Lacy Lakeview |
| Website | lacylakeview.org |
| Address of Client Unit | 911 Ave D WACO, Texas 76705 Map It |
| Address for Payment | PO Box 154549 WACO, Texas 76715 Map It |
| Account Number | 05000790020 |
| Acceptable Method of Payment | online |
| Payment Details | |
| Payment Amount | $360.82 |
| Receipt Amount | $368.46 |
| Receipt Date | 08/08/2024 |
| Comments | City of Lacy Lakeview water paid in the amount of $360.01 plus a processing fee of $7.20 and a online payment fee of $1.25 |
| Receipt | 74283-Shelton.pdf |
| Staff Name | Gloria |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/12/2024 |
