| Payment ID | 45054 |
|---|---|
| Date Created | 11/18/23 8:47 pm |
| Created By | Gloria Jimenez |
| Service Request | 42405 |
| Application ID | 37351 |
| Authorization Number | 222747 |
| Applicant Information | |
| Name | Angela Rubio |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502254 |
| 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 | 1620 La Salle Ave Unit 4126 Waco, Texas 76706 Map It |
| Move To Address | 3500 Meyers Ln Apt 140 Waco, Texas 76705 Map It |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $750.00 |
| Receipt Date | 11/15/2023 |
| Comments | payment to Al's moving company |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/18/2023 |
