| Payment ID | 26675 |
|---|---|
| Date Created | 05/23/23 11:35 am |
| Created By | Gloria Jimenez |
| Service Request | 25863 |
| Application ID | 25146 |
| Authorization Number | |
| Applicant Information | |
| Name | Bionca Nichols |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171101633 |
| 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 | 1913 Marquita St. Waco, Texas 76711 Map It |
| Move To Address | 2605 Speight Ave. Waco, Texas 76711 Map It |
| Payment Details | |
| Payment Amount | $650.00 |
| Receipt Amount | $452.81 |
| Receipt Date | 05/22/2023 |
| Comments | payment to Guerra Bros for moving |
| Receipt | 26675-Nichols.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/23/2023 |
