| Payment ID | 39115 |
|---|---|
| Date Created | 09/06/23 11:59 am |
| Created By | Gloria Jimenez |
| Service Request | 34162 |
| Application ID | 4392 |
| Authorization Number | 222284 |
| Applicant Information | |
| Name | Michelle Stout |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800412 |
| 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 | 2717 Windsor Avenue waco, Texas 76708 Map It |
| Payment Details | |
| Payment Amount | $150.00 |
| Receipt Amount | $500.00 |
| Receipt Date | 08/31/2023 |
| Comments | moving fee |
| Receipt | 39115-Stout.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/06/2023 |
