| Payment ID | 118167 |
|---|---|
| Date Created | 08/13/25 10:58 am |
| Created By | Gloria Jimenez |
| Service Request | 116330 |
| Application ID | 112086 |
| Authorization Number | 226807 |
| Applicant Information | |
| Name | Ericka Butler |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164305274 |
| 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 | 641 pebble creek dr Hewitt, Texas 76643 Map It |
| Move To Address | 1203 merganser way Waco, Texas 76706 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $605.00 |
| Receipt Date | 08/12/2025 |
| Comments | moving expense paid in the amount of $600.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/13/2025 |
