| Payment ID | 94434 |
|---|---|
| Date Created | 02/20/25 12:07 pm |
| Created By | Gloria Jimenez |
| Service Request | 93156 |
| Application ID | 83053 |
| Authorization Number | 225089 |
| Applicant Information | |
| Name | Jonathon Bazhaw |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171103898 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Hubbard Family Housing, LLC |
| Provider Contact Person | Ron Flatt |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 733-3513 |
| Address of Client Unit | 3712 Beverly Drive Waco, Texas 76711 Map It |
| Address for Payment | PO BOX 1312 Hillsboro, Texas 76645 Map It |
| Acceptable Method of Payment | cash or check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 02/19/2025 |
| Comments | security deposit in the amount of $1,000 plus a bank fee of $5.00 for cashiers check |
| Receipt | 94434-Bazhaw.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/20/2025 |
