| Payment ID | 74368 |
|---|---|
| Date Created | 08/12/24 11:35 am |
| Created By | Gloria Jimenez |
| Service Request | 73518 |
| Application ID | 69430 |
| Authorization Number | 224306 |
| 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 | Security Deposits |
| Provider Name | Cromwell Management |
| Provider Contact Person | Amber Spruggs |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 752-9667 |
| Address of Client Unit | 2019 Curtis Waco, Texas 76710 Map It |
| Address for Payment | 1725 Columbus Ave Waco, Texas 76701 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,450.00 |
| Bank Fees | No |
| Receipt Amount | $1,455.00 |
| Receipt Date | 08/12/2024 |
| Comments | Security Deposit paid to Cromwell Management plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| 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 |
