| Payment ID | 88907 |
|---|---|
| Date Created | 01/22/25 12:31 pm |
| Created By | Gloria Jimenez |
| Service Request | 86636 |
| Application ID | 83699 |
| Authorization Number | 224613 |
| Applicant Information | |
| Name | Tracy Sadler |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170404055 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | James Urbanek |
| Provider Contact Person | James Urbanek |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 366-8386 |
| Address of Client Unit | 112 Virginia St. Apt. B Lacy Lakeview, Texas 76705 Map It |
| Address for Payment | 3332 N 31st St. Waco, Texas 76708 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 01/14/2025 |
| Comments | security deposit paid to James Urbanek in the amount of $1000.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/22/2025 |
