| Payment ID | 39126 |
|---|---|
| Date Created | 09/06/23 12:18 pm |
| Created By | Gloria Jimenez |
| Service Request | 32864 |
| Application ID | 4471 |
| Authorization Number | 222197 |
| Applicant Information | |
| Name | Jennifer Ramos |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800421 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Al’s Moving Company |
| Contact Name | Select Below |
| Is this move related to donated furniture? | Yes |
| Move To Address | 1800 Primrose #131D Waco, Texas 76706 Map It |
| Payment Details | |
| Payment Amount | $100.00 |
| Receipt Amount | $600.00 |
| Receipt Date | 08/31/2023 |
| Comments | moving fee |
| Receipt | 39126-Ramos.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 |
