| Payment ID | 90755 |
|---|---|
| Date Created | 01/31/25 2:57 pm |
| Created By | Gloria Jimenez |
| Service Request | 90656 |
| Application ID | 84087 |
| Authorization Number | 224902 |
| Applicant Information | |
| Name | Thomas Cornford |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170704100 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Scotty Saucedo |
| Provider Contact Person | aida scott |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 759-8600 |
| Address of Client Unit | 923 n 23rd st Apt 4 Waco, Texas 76707 Map It |
| Address for Payment | 523 Herring Ave Waco, Texas 76708 Map It |
| Acceptable Method of Payment | check or money order |
| Payment Details | |
| Payment Amount | $850.00 |
| Bank Fees | No |
| Receipt Amount | $855.00 |
| Receipt Date | 01/27/2025 |
| Comments | security deposit paid to Scotty Saucedo in the amount of $850.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | 90755-Cornford.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/31/2025 |
