| Payment ID | 42773 |
|---|---|
| Date Created | 10/23/23 3:51 pm |
| Created By | Gloria Jimenez |
| Service Request | 35890 |
| Application ID | 25054 |
| Authorization Number | 222392 |
| 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? | No |
| Move From Address | 920 N Valley Mills Dr Unit 1117 Waco, Texas 76711 Map It |
| Move To Address | 2124 Gorman Waco, Texas 76707 Map It |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $700.00 |
| Receipt Date | 10/23/2023 |
| Comments | moving paid to Al's Moving Co |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/23/2023 |
