| Payment ID | 94404 |
|---|---|
| Date Created | 02/20/25 11:23 am |
| Created By | Gloria Jimenez |
| Service Request | 92718 |
| Application ID | 30019 |
| Authorization Number | 225065 |
| Applicant Information | |
| Name | Shamika Kujabi |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601893 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | John Johnston |
| Provider Contact Person | John Johnston |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (512) 965-6492 |
| Address of Client Unit | 3625 Colcord Ave Waco, Texas 76707 Map It |
| Address for Payment | 301 Ave I Valley Mills, Texas 76689 Map It |
| Acceptable Method of Payment | check or money order |
| Payment Details | |
| Payment Amount | $1,250.00 |
| Bank Fees | No |
| Receipt Amount | $1,255.00 |
| Receipt Date | 02/19/2025 |
| Comments | security deposit paid in the amount of $1250.00 plus a bank fee of $5.00 for cashier check |
| Receipt | 94404-Kujabi.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/20/2025 |
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