| Payment ID | 74387 |
|---|---|
| Date Created | 08/12/24 12:17 pm |
| Created By | Gloria Jimenez |
| Service Request | 73262 |
| Application ID | 49017 |
| Authorization Number | 224284 |
| Applicant Information | |
| Name | Stacy Davis |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502752 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Bentwood Properties |
| Contact Name | Rochelle Pullen |
| Contact Email | Email hidden; Javascript is required. |
| Address | 601 Lake Air Waco, Texas 76710 Map It |
| Phone | (254) 307-7368 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $51.00 |
| Receipt Date | 08/12/2024 |
| Comments | application fee paid to Bentwood in the amount of $50.00 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/12/2024 |
