| Payment ID | 99685 |
|---|---|
| Date Created | 03/31/25 3:48 pm |
| Created By | Gloria Jimenez |
| Service Request | 98267 |
| Application ID | 86708 |
| Authorization Number | 225482 |
| Applicant Information | |
| Name | LaTavia Sanders |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170504221 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Courtney Devonshire |
| Contact Name | Courtney Devonshire |
| Contact Email | Email hidden; Javascript is required. |
| Address | 416 Owen Ln Waco, Texas 76710 Map It |
| Phone | (254) 372-2272 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $51.00 |
| Receipt Date | 03/31/2025 |
| Comments | application fee paid plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/31/2025 |
