| Payment ID | 98898 |
|---|---|
| Date Created | 03/25/25 4:20 pm |
| Created By | Gloria Jimenez |
| Service Request | 97510 |
| Application ID | 95756 |
| Authorization Number | 225410 |
| Applicant Information | |
| Name | Keosha Green |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170704623 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Security Deposits |
| Provider Name | Halsan LTD |
| Provider Contact Person | Dean Mitchell |
| Contact Email Address | Email hidden; Javascript is required. |
| Phone | (254) 644-3113 |
| Address of Client Unit | 2023 Morrow Waco, Texas 76707 Map It |
| Address for Payment | 4400 Cobbs Dr Waco, Texas 76712 Map It |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Bank Fees | No |
| Receipt Amount | $1,005.00 |
| Receipt Date | 03/24/2025 |
| Comments | security deposit paid in the amount of $1,000 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | SJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/25/2025 |
