| Payment ID | 35493 |
|---|---|
| Date Created | 07/30/23 11:03 pm |
| Created By | Gloria Jimenez |
| Service Request | 32675 |
| Application ID | 29406 |
| Authorization Number | 222207 |
| Applicant Information | |
| Name | Florine Adkison-Browning |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401862 |
| 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. |
| Is this move related to donated furniture? | Yes |
| Move To Address | 2607 Summer St Apt A Waco, Texas 76708 Map It |
| Payment Details | |
| Payment Amount | $150.00 |
| Receipt Amount | $700.00 |
| Receipt Date | 07/25/2023 |
| Comments | payment to Al's moving company |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/30/2023 |
