| Payment ID | 21908 |
|---|---|
| Date Created | 04/06/23 11:19 am |
| Created By | Gloria Jimenez |
| Service Request | 20513 |
| Application ID | 17303 |
| Authorization Number | |
| Applicant Information | |
| Name | Rosalinda Carey |
| Agency Name | ISD |
| Agency Code | 220501 |
| Agency | ISD |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801282 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Guerra Brothers Moving Company |
| Move From Address | Texas Map It |
| Move To Address | Texas Map It |
| Payment Details | |
| Payment Amount | $875.00 |
| Receipt Amount | $875.00 |
| Receipt Date | 04/03/2023 |
| Comments | payment made to Guerra Bros in the amount of $875.00 |
| Receipt | 03-04-2023Carey875.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/06/2023 |
