| Payment ID | 27436 |
|---|---|
| Date Created | 05/31/23 3:22 pm |
| Created By | Gloria Jimenez |
| Service Request | 26452 |
| Application ID | 17405 |
| Authorization Number | |
| Applicant Information | |
| Name | Chanelle Carr |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601288 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Al’s Moving Company |
| Contact Name | Al’s Moving Company |
| Contact Email | Email hidden; Javascript is required. |
| Move From Address | 2400 Corporation Pkwy Apt 2304 Waco, Texas 76712 Map It |
| Move To Address | 1308 Tabor Ave Apt D Waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $400.00 |
| Receipt Date | 05/31/2023 |
| Comments | payment to Al's moving company |
| Receipt | 27436-Carr.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/31/2023 |
