| Payment ID | 90622 |
|---|---|
| Date Created | 01/30/25 1:31 pm |
| Created By | Gloria Jimenez |
| Service Request | 89956 |
| Application ID | 74241 |
| Authorization Number | 224884 |
| Applicant Information | |
| Name | Anastasia Moore |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171003612 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Carriage House, LLC |
| Provider Contact Person | Jessica Stocks |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 294-8153 |
| Address of Client Unit | 1920 Washington Ave - Apt # 2103 Waco, Texas 76701 Map It |
| Address for Payment | 1923 Austin Ave #7101 Waco, Texas 76701 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $950.00 |
| Bank Fees | No |
| Receipt Amount | $955.00 |
| Receipt Date | 01/30/2025 |
| Comments | security deposit paid to Carriage House in the amount of $950.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/30/2025 |
