| Payment ID | 24024 |
|---|---|
| Date Created | 04/25/23 1:02 pm |
| Created By | Gloria Jimenez |
| Service Request | 21860 |
| Application ID | 15488 |
| Authorization Number | |
| Applicant Information | |
| Name | Jasmine Black |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170101156 |
| 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 | 109 Morgan lane Elm mott, Texas 76640 Map It |
| Move To Address | 2525 e lakeshore dr Apt 1503 Waco, Texas 76705 Map It |
| Payment Details | |
| Payment Amount | $450.00 |
| Receipt Amount | $700.00 |
| Receipt Date | 04/24/2023 |
| Comments | moving fee from Al's moving company |
| Receipt | 24-04-2023Black700.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/25/2023 |
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