| Payment ID | 95416 |
|---|---|
| Date Created | 02/26/25 5:50 pm |
| Created By | Gloria Jimenez |
| Service Request | 92656 |
| Application ID | 39464 |
| Authorization Number | 225061 |
| Applicant Information | |
| Name | Shakirra Coleman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802353 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Elizabeth Green Brown |
| Provider Contact Person | same |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 744-4349 |
| Address of Client Unit | 1302 Liberty St Waco, Texas 76705 Map It |
| Address for Payment | 5401 Camp Ground Rd Waco, Texas 76705 Map It |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $2,000.00 |
| Bank Fees | No |
| Receipt Amount | $2,005.00 |
| Receipt Date | 02/25/2025 |
| Comments | security deposit paid with a $5.00 bank fee for cashiers check |
| Receipt | 95416-Coleman.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/26/2025 |
