| Payment ID | 12561 |
|---|---|
| Date Created | 11/29/22 4:27 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 5641 |
| Authorization Number | |
| Applicant Information | |
| Name | Judson Revia |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500521 |
| Payment Type | Moving Fees |
| Payment Details | |
| Receipt Amount | $300.00 |
| Receipt Date | 11/29/2022 |
| Comments | moving fees to Al's moving Co. paid on 11/29/22 |
| Receipt | 29-11-2022Revia300.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/29/2022 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs