| Payment ID | 113139 |
|---|---|
| Date Created | 06/26/25 12:34 pm |
| Created By | Gloria Jimenez |
| Service Request | 111125 |
| Application ID | 94685 |
| Authorization Number | 226388 |
| Applicant Information | |
| Name | Rebecca kelly |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171204576 |
| 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 | U-Haul Moving and Storage --- UNIT # 4121 ----- NO GATE CODE 200 Texas Central Pkwy Waco, Texas 769710 Map It |
| Move To Address | 4801 Sanger Ave, Apt 49 Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $300.00 |
| Receipt Amount | $605.00 |
| Receipt Date | 06/26/2025 |
| Comments | moving fee paid to Al's Moving company plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/26/2025 |
