| Payment ID | 26673 |
|---|---|
| Date Created | 05/23/23 11:32 am |
| Created By | Gloria Jimenez |
| Service Request | 26270 |
| Application ID | 23717 |
| Authorization Number | |
| Applicant Information | |
| Name | Misty Buhl |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16101572 |
| 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 | 1620 LaSalle Avenue waco, Texas 76706 Map It |
| Move To Address | 3405 Windsor Avenue Waco, Texas 76708 Map It |
| Payment Details | |
| Payment Amount | $330.00 |
| Receipt Amount | $683.10 |
| Receipt Date | 05/22/2023 |
| Comments | payment to Guerra Bros for moving |
| Receipt | 26673-Buhl.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/23/2023 |
