| Payment ID | 25126 |
|---|---|
| Date Created | 05/08/23 9:35 am |
| Created By | Gloria Jimenez |
| Service Request | 24338 |
| Application ID | 20680 |
| Authorization Number | |
| Applicant Information | |
| Name | Shavonne Perot |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501433 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Christian Brothers Moving Company |
| Contact Name | Christian Brothers Moving Company |
| Contact Email | Email hidden; Javascript is required. |
| Move From Address | 418 N Park St Leroy, Texas 76644 Map It |
| Move To Address | 1206 Chestnut Ave Waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $510.00 |
| Receipt Amount | $510.00 |
| Receipt Date | 05/02/2023 |
| Comments | moving fee paid to Christian Bros |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/08/2023 |
