| Payment ID | 83378 |
|---|---|
| Date Created | 12/21/24 7:17 pm |
| Created By | Gloria Jimenez |
| Service Request | 82600 |
| Application ID | 81463 |
| Authorization Number | 224477 |
| Applicant Information | |
| Name | Teayrra Evans |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171003783 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | D Johnson Holdings |
| Provider Contact Person | Lizzie Leveston |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 938-3211 |
| Address of Client Unit | 1308 Nealton St Bellmead, Texas 76705 Map It |
| Address for Payment | PO Box 340 Troy, Texas 76579 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,095.00 |
| Bank Fees | No |
| Receipt Amount | $1,100.00 |
| Receipt Date | 12/20/2024 |
| Comments | Security deposit paid in the amount of $1095.00 plus a fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/21/2024 |
