| Payment ID | 86690 |
|---|---|
| Date Created | 01/13/25 10:33 am |
| Created By | Gloria Jimenez |
| Service Request | 85499 |
| Application ID | 10568 |
| Authorization Number | 224572 |
| Applicant Information | |
| Name | LaSylvia Hardin |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500869 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Carbajal Realty, Inc. |
| Provider Contact Person | Kandace Rylee |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 235-8343 |
| Address of Client Unit | 2503 Ethel Ave. Apt. 107 Waco, Texas 76707 Map It |
| Address for Payment | 1621 James Ave. Waco, Texas 76706 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $500.00 |
| Bank Fees | No |
| Receipt Amount | $301.00 |
| Receipt Date | 01/13/2025 |
| Comments | Security deposit paid to Carbajal Realty plus a bank fee of $1.00 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/13/2025 |
