| Payment ID | 75571 |
|---|---|
| Date Created | 08/29/24 10:29 am |
| Created By | Gloria Jimenez |
| Service Request | 75311 |
| Application ID | 74231 |
| Authorization Number | 224347 |
| Applicant Information | |
| Name | Micole Fletcher |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503606 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Cromwell Management |
| Provider Contact Person | Amber |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 752-9667 |
| Address of Client Unit | 4698 Old Dallas Rd Elm Mott, Texas 76640 Map It |
| Address for Payment | 1725 Columbus Ave Waco, Texas 76701 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,095.00 |
| Bank Fees | No |
| Receipt Amount | $1,100.00 |
| Receipt Date | 08/28/2024 |
| Comments | security deposit paid to Cromwell Management plus a bank fee of $5.00 for cashiers check |
| Receipt | 75571-Fletcher.pdf |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/29/2024 |
