| Payment ID | 42070 |
|---|---|
| Date Created | 10/16/23 11:45 am |
| Created By | Gloria Jimenez |
| Service Request | 37067 |
| Application ID | 25054 |
| Authorization Number | 222456 |
| Applicant Information | |
| Name | Nikisha Adames |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171101628 |
| 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 | 2124 Gorman Waco, Texas 76707 Map It |
| Payment Details | |
| Payment Amount | $200.00 |
| Receipt Amount | $800.00 |
| Receipt Date | 10/11/2023 |
| Comments | payment to Al's Moving Company |
| Receipt | 42070-Adames.pdf |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/16/2023 |
