| Payment ID | 35589 |
|---|---|
| Date Created | 07/31/23 2:01 pm |
| Created By | Deborah |
| Service Request | 32566 |
| Application ID | 4289 |
| Authorization Number | 222178 |
| Applicant Information | |
| Name | Sonia Ford |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600406 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Select Below |
| Contact Name | Select Below |
| Is this move related to donated furniture? | Yes |
| Move To Address | 812 Rambler Drive Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $200.00 |
| Receipt Amount | $257.16 |
| Receipt Date | 07/31/2023 |
| Comments | Paid to Al's Moving Service for furniture delivery |
| Receipt | |
| Staff Name | Deborah Green |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Deborah Green |
| Verifier Signature | |
| Date Verified | 07/31/2023 |
