| Payment ID | 84075 |
|---|---|
| Date Created | 12/31/24 3:59 pm |
| Created By | Gloria Jimenez |
| Service Request | 83515 |
| Application ID | 80892 |
| Authorization Number | 224515 |
| Applicant Information | |
| Name | Demetre Lang |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170103758 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Matthew Thomas |
| Provider Contact Person | Mathew Thomas |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (312) 966-7029 |
| Address of Client Unit | 1512 Herring Ave Waco, Texas 76707 Map It |
| Address for Payment | 4400 Cobbs Dr Waco, Texas 76710 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $600.00 |
| Bank Fees | No |
| Receipt Amount | $605.00 |
| Receipt Date | 12/30/2024 |
| Comments | Deliver check to 4400 Cobbs he will pick up |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/31/2024 |
