| Payment ID | 35570 |
|---|---|
| Date Created | 07/31/23 1:18 pm |
| Created By | Deborah |
| Service Request | 31887 |
| Application ID | 15693 |
| Authorization Number | 222149 |
| Applicant Information | |
| Name | Adrianna Cook |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 01863701170 |
| 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 | 10221 Pantherway Waco, Texas 76712 Map It |
| Payment Details | |
| Payment Amount | $0.00 |
| Receipt Amount | $333.33 |
| Receipt Date | 07/31/2023 |
| Comments | Paid to Al's Moving Service for furniture |
| 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 |
