| Payment ID | 83381 |
|---|---|
| Date Created | 12/21/24 7:28 pm |
| Created By | Gloria Jimenez |
| Service Request | 82095 |
| Application ID | 81396 |
| Authorization Number | 224455 |
| Applicant Information | |
| Name | Dranet Hogue |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171003780 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Jayshap, Lp |
| Provider Contact Person | Sandra Shapiro |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 723-7523 |
| Address of Client Unit | 3812 n 22nd St Waco, Texas 76708 Map It |
| Address for Payment | PO Box 7791 Waco, Texas 76714 Map It |
| Acceptable Method of Payment | money order |
| Payment Details | |
| Payment Amount | $1,450.00 |
| Bank Fees | No |
| Receipt Amount | $1,455.00 |
| Receipt Date | 12/20/2024 |
| Comments | security deposit paid plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/21/2024 |
