| Payment ID | 87799 |
|---|---|
| Date Created | 01/16/25 10:49 am |
| Created By | Gloria Jimenez |
| Service Request | 86736 |
| Application ID | 80892 |
| Authorization Number | 224652 |
| 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 | JR Grace Realty |
| Provider Contact Person | Theresa Dela Cruz |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 777-5577 |
| Address of Client Unit | 3132 N 28th Waco, Texas 76708 Map It |
| Address for Payment | 1401 Lake Air Dr Waco, Texas 767010 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,500.00 |
| Bank Fees | No |
| Receipt Amount | $1,505.00 |
| Receipt Date | 01/15/2025 |
| Comments | Security payment made to JR Grace in the amount of $1,500 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/16/2025 |
