| Payment ID | 21912 |
|---|---|
| Date Created | 04/06/23 12:06 pm |
| Created By | Gloria Jimenez |
| Service Request | 18973 |
| Application ID | 372 |
| Authorization Number | |
| Applicant Information | |
| Name | Sonja Cobbs |
| Agency Name | Unknown |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500040 |
| 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. |
| Move From Address | Texas Map It |
| Move To Address | Texas Map It |
| Payment Details | |
| Payment Amount | $650.00 |
| Receipt Amount | $650.00 |
| Receipt Date | 04/03/2023 |
| Comments | payment made to Al's moving co |
| Receipt | 03-04-2023Cobbs650.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/06/2023 |
