| Payment ID | 41730 |
|---|---|
| Date Created | 10/12/23 10:56 am |
| Created By | Gloria Jimenez |
| Service Request | 37675 |
| Application ID | 36858 |
| Authorization Number | 222483 |
| Applicant Information | |
| Name | winfred talley jr |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002230 |
| 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 | 815 Columbus Ave Apt# 3909 Waco, Texas 76701 Map It |
| Payment Details | |
| Payment Amount | $200.00 |
| Receipt Amount | $400.00 |
| Receipt Date | 10/11/2023 |
| Comments | payment paid to Al's Moving Company |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/12/2023 |
