| Payment ID | 25133 |
|---|---|
| Date Created | 05/08/23 9:56 am |
| Created By | Gloria Jimenez |
| Service Request | 24266 |
| Application ID | 20922 |
| Authorization Number | |
| Applicant Information | |
| Name | Sade hunt |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164301444 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Guerra Brothers Moving Company |
| Contact Name | Guerra Brothers Moving Company |
| Contact Email | Email hidden; Javascript is required. |
| Move From Address | 620 N. Hewitt Dr #95 Hewitt, Texas 76643 Map It |
| Move To Address | 605 N Hewitt Dr Hewitt, Texas 76712 Map It |
| Payment Details | |
| Payment Amount | $270.00 |
| Receipt Amount | $437.50 |
| Receipt Date | 05/02/2023 |
| Comments | moving fee paid to Guerra Bros |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/08/2023 |
