| Payment ID | 75509 |
|---|---|
| Date Created | 08/28/24 1:38 pm |
| Created By | Gloria Jimenez |
| Service Request | 74979 |
| Application ID | 71201 |
| Authorization Number | 224339 |
| Applicant Information | |
| Name | Damien Adkison |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170803469 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | CIF Services Inc |
| Contact Name | Stacy |
| Contact Email | Email hidden; Javascript is required. |
| Address | 416 Sapphire Blvd Hewitt, Texas 76643 Map It |
| Phone | (254) 756-2957 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $40.00 |
| Bank Fees | No |
| Receipt Amount | $41.00 |
| Receipt Date | 08/28/2024 |
| Comments | application fee paid to CIF 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 |
