| Payment ID | 24051 |
|---|---|
| Date Created | 04/25/23 2:07 pm |
| Created By | Gloria Jimenez |
| Service Request | 20544 |
| Application ID | 3320 |
| Authorization Number | |
| Applicant Information | |
| Name | Brittany Glynn |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800313 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Al’s Moving Company |
| Move From Address | Texas Map It |
| Move To Address | Texas Map It |
| Payment Details | |
| Payment Amount | $300.00 |
| Receipt Amount | $450.00 |
| Receipt Date | 04/24/2023 |
| Comments | moving fee from Al's moving company |
| Receipt | 24-04-2023Glynn450.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/25/2023 |
