| Payment ID | 75507 |
|---|---|
| Date Created | 08/28/24 1:33 pm |
| Created By | Gloria Jimenez |
| Service Request | 75090 |
| Application ID | 34279 |
| Authorization Number | 224342 |
| Applicant Information | |
| Name | Damian Smith |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170402096 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Brazos Valley Real Estate |
| Contact Name | Ken Cash |
| Contact Email | Email hidden; Javascript is required. |
| Address | 6920 Old McGregor Rd Waco, Texas 76712 Map It |
| Phone | (254) 741-1303 |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $30.00 |
| Bank Fees | No |
| Receipt Amount | $31.00 |
| Receipt Date | 08/28/2024 |
| Comments | application fee paid to brazos Valley Real Estate plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/28/2024 |
