| Payment ID | 39102 |
|---|---|
| Date Created | 09/06/23 11:34 am |
| Created By | Gloria Jimenez |
| Service Request | 34163 |
| Application ID | 11730 |
| Authorization Number | 222283 |
| Applicant Information | |
| Name | Edith Bryant |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16165500918 |
| 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 | 2900 Primrose Dr. $2934A Waco, Texas 76706 Map It |
| Payment Details | |
| Payment Amount | $200.00 |
| Receipt Amount | $466.66 |
| Receipt Date | 08/31/2023 |
| Comments | moving fee |
| Receipt | 39102-Bryant.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/06/2023 |
