| Payment ID | 94453 |
|---|---|
| Date Created | 02/20/25 12:29 pm |
| Created By | Gloria Jimenez |
| Service Request | 92375 |
| Application ID | 84046 |
| Authorization Number | 225012 |
| Applicant Information | |
| Name | Kaliyah Foster |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170604096 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | The Cove on 21st |
| Contact Name | Alasia Capetillo |
| Contact Email | Email hidden; Javascript is required. |
| Address | 2425 South 21st Waco, Texas 76706 Map It |
| Phone | (254) 756-5855 |
| Acceptable Method of Payment | checj |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $51.00 |
| Receipt Date | 02/19/2025 |
| Comments | application fee for $50 plus a bank fee of $1.00 for money order |
| Receipt | 94453-Foster.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/20/2025 |
