| Payment ID | 36704 |
|---|---|
| Date Created | 08/09/23 12:01 pm |
| Created By | Gloria Jimenez |
| Service Request | 34953 |
| Application ID | 16241 |
| Authorization Number | 222328 |
| Applicant Information | |
| Name | Sheila Jackson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401225 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Christian Brothers Moving Company |
| Contact Name | Christian Brothers Moving Company |
| Contact Email | Email hidden; Javascript is required. |
| Is this move related to donated furniture? | No |
| Move From Address | 4300 Bellmead Dr Waco, Texas 76705 Map It |
| Move To Address | 1029 Clifton St Waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $510.00 |
| Receipt Date | 08/07/2023 |
| Comments | moving fee paid to Christian Bros |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/09/2023 |
