| Payment ID | 35496 |
|---|---|
| Date Created | 07/30/23 11:19 pm |
| Created By | Gloria Jimenez |
| Service Request | 1 |
| Application ID | 0 |
| Authorization Number | |
| Applicant Information | |
| Name | Furniture Tracking |
| Unique Identifier | 99999999999 |
| Payment Type | Moving Fees |
| Moving Company | Al’s Moving Company |
| Payment Details | |
| Receipt Amount | $1,300.00 |
| Receipt Date | 07/25/2023 |
| Comments | payment to Al's moving company for reorganizing fee |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/30/2023 |
