| Payment ID | 87803 |
|---|---|
| Date Created | 01/16/25 11:01 am |
| Created By | Gloria Jimenez |
| Service Request | 87157 |
| Application ID | 83096 |
| Authorization Number | 224677 |
| Applicant Information | |
| Name | Eliza Moreno |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171103901 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Diana Galan |
| Provider Contact Person | Diana Galan Jimenez |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 548-1645 |
| Address of Client Unit | 1105 Boque Blvd Waco, Texas 76707 Map It |
| Address for Payment | 1611 Pine Ave Waco, Texas 76708 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,200.00 |
| Bank Fees | No |
| Receipt Amount | $1,205.00 |
| Receipt Date | 01/15/2025 |
| Comments | security deposit to Diana Galan in the amount of $1200.00 plus a bank fee of $5.00 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/16/2025 |
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