| Payment ID | 45986 |
|---|---|
| Date Created | 11/28/23 2:18 pm |
| Created By | Gloria Jimenez |
| Service Request | 45668 |
| Application ID | 30146 |
| Authorization Number | 222964 |
| Applicant Information | |
| Name | Virgen Rivera Latimer |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501900 |
| 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 | 113 Soaring Eagle Waco, Texas 76705 Map It |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $200.00 |
| Receipt Date | 07/25/2023 |
| Comments | moving free furniture |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/28/2023 |
