| Payment ID | 35558 |
|---|---|
| Date Created | 07/31/23 12:47 pm |
| Created By | Deborah |
| Service Request | 32457 |
| Application ID | 28373 |
| Authorization Number | 222171 |
| Applicant Information | |
| Name | Keishonna Smith |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 07466101801 |
| 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 | 4510 S 3rd Street Rd. Apt. 1B Waco, Texas 76706 Map It |
| Payment Details | |
| Payment Amount | $200.00 |
| Receipt Amount | $600.00 |
| Receipt Date | 07/31/2023 |
| Comments | Paid to Al's Moving Service for furniture movement |
| Receipt | |
| Staff Name | Deborah Green |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Deborah Green |
| Verifier Signature | |
| Date Verified | 07/31/2023 |
