| Payment ID | 35563 |
|---|---|
| Date Created | 07/31/23 1:05 pm |
| Created By | Gloria Jimenez |
| Service Request | 31604 |
| Application ID | 23454 |
| Authorization Number | 222119 |
| Applicant Information | |
| Name | Derrika Rollins |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401562 |
| 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 | 1725 N Martin Luther King - Apt 403 Waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $0.00 |
| Receipt Amount | $325.00 |
| Receipt Date | 07/31/2023 |
| Comments | Al's moving fee |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/31/2023 |
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