| Payment ID | 34801 |
|---|---|
| Date Created | 07/25/23 9:44 am |
| Created By | Gloria Jimenez |
| Service Request | 34691 |
| Application ID | 6434 |
| Authorization Number | 222312 |
| Applicant Information | |
| Name | Brittany Bishop |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500569 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Al’s Moving Company |
| Contact Name | Select Below |
| Is this move related to donated furniture? | Yes |
| Move To Address | 1136 faulkner ln waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $281.25 |
| Receipt Amount | $281.25 |
| Receipt Date | 07/11/2023 |
| Comments | moving fees paid to Al's moving company |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/25/2023 |
