| Payment ID | 42170 |
|---|---|
| Date Created | 10/16/23 3:11 pm |
| Created By | Gloria Jimenez |
| Service Request | 35696 |
| Application ID | 28340 |
| Authorization Number | 222365 |
| Applicant Information | |
| Name | Shalakia Patterson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401799 |
| 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 | 4601 Erath St (House) Waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $150.00 |
| Receipt Amount | $400.00 |
| Receipt Date | 10/16/2023 |
| Comments | payment made to Al's Moving Company |
| Receipt | 42170-Patterson.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/16/2023 |
