| Payment ID | 34642 |
|---|---|
| Date Created | 07/24/23 1:00 pm |
| Created By | Gloria Jimenez |
| Service Request | 33051 |
| Application ID | 19378 |
| Authorization Number | 222217 |
| Applicant Information | |
| Name | Tracy Brantley |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501370 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Select Below |
| Contact Name | Select Below |
| Is this move related to donated furniture? | Yes |
| Move To Address | 100 N 6th St Apt V4 waco, Texas 76706 Map It |
| Payment Details | |
| Payment Amount | $200.00 |
| Receipt Amount | $300.00 |
| Receipt Date | 07/11/2023 |
| Comments | moving fees for donated furniture |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/24/2023 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs