| Payment ID | 77482 |
|---|---|
| Date Created | 09/30/24 4:27 pm |
| Created By | Gloria Jimenez |
| Service Request | 76977 |
| Application ID | 75018 |
| Authorization Number | 224389 |
| Applicant Information | |
| Name | Eyeashia Boyd |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171003636 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Tianxiang Tang |
| Provider Contact Person | Tianxiang Tang |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (940) 594-7126 |
| Address of Client Unit | 141 Antler Trl. Forney, Texas 75126 Map It |
| Address for Payment | 2857 Edinburgh Dr. Carrollton, Texas 75006 Map It |
| Acceptable Method of Payment | Cashier's check |
| Payment Details | |
| Payment Amount | $2,600.00 |
| Bank Fees | No |
| Receipt Amount | $2,605.00 |
| Receipt Date | 09/30/2024 |
| Comments | payment made to Tianxiang Tang, plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/30/2024 |
