| Payment ID | 106839 |
|---|---|
| Date Created | 05/20/25 3:21 pm |
| Created By | Gloria Jimenez |
| Service Request | 101245 |
| Application ID | 89115 |
| Authorization Number | 225719 |
| Applicant Information | |
| Name | Sharon Adams |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171004351 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Al’s Moving Company |
| Contact Name | Al’s Moving Company |
| Contact Email | Email hidden; Javascript is required. |
| Is this move related to donated furniture? | No |
| Move From Address | 920 N Valley Mills Dr. Waco, TX, Texas 76710 Map It |
| Move To Address | 5100 Hawthorne Dr. Apt. 307 Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $401.00 |
| Receipt Date | 05/20/2025 |
| Comments | moving paid plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/20/2025 |
