| Payment ID | 86701 |
|---|---|
| Date Created | 01/13/25 10:57 am |
| Created By | Gloria Jimenez |
| Service Request | 85791 |
| Application ID | 82583 |
| Authorization Number | 224598 |
| Applicant Information | |
| Name | Andre Hayward |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170803807 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Costa Esmeralda |
| Provider Contact Person | Starlet Pope |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 757-2163 |
| Address of Client Unit | 1516 Gurley Lane # 7103 Waco, Texas 76706 Map It |
| Address for Payment | 1516 Gurley Lane Waco, Texas 76706 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,600.00 |
| Bank Fees | No |
| Receipt Amount | $1,605.00 |
| Receipt Date | 01/13/2025 |
| Comments | security deposit paid to Costa Esmeralda in the amount of $1600.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/13/2025 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs