| Payment ID | 40960 |
|---|---|
| Date Created | 10/03/23 10:48 am |
| Created By | Gloria Jimenez |
| Service Request | 39903 |
| Application ID | 36868 |
| Authorization Number | 222613 |
| Applicant Information | |
| Name | Leslie Nichols |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170302232 |
| 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 | Store Self-Storage 1620 LaSalle Avenue Waco, Texas 76706 Map It |
| Move To Address | 2509 E Lake Short Drive #1308 Waco, Texas 76705 Map It |
| Payment Details | |
| Payment Amount | $510.00 |
| Receipt Amount | $510.00 |
| Receipt Date | 10/02/2023 |
| Comments | moving fees paid to Christian Brothers |
| Receipt | 40960-Nichols.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/03/2023 |
