| Payment ID | 87795 |
|---|---|
| Date Created | 01/16/25 10:45 am |
| Created By | Gloria Jimenez |
| Service Request | 86864 |
| Application ID | 71827 |
| Authorization Number | 224634 |
| Applicant Information | |
| Name | Tiffany Ogeda |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170703498 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | John Montez |
| Provider Contact Person | Aida Scott |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 759-8600 |
| Address of Client Unit | 2801 Mitchell Ave Waco, Texas 76708 Map It |
| Address for Payment | Drop @ WHA 4400 Cobbs Dr. Waco, Texas 76710 Map It |
| Acceptable Method of Payment | cashiers check |
| Payment Details | |
| Payment Amount | $1,100.00 |
| Bank Fees | No |
| Receipt Amount | $1,105.00 |
| Receipt Date | 01/15/2025 |
| Comments | security deposit paid to John Montez in the amount of $1,100.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/16/2025 |
