| Payment ID | 47332 |
|---|---|
| Date Created | 12/06/23 11:14 am |
| Created By | Gloria Jimenez |
| Service Request | 46021 |
| Application ID | 9874 |
| Authorization Number | 222995 |
| Applicant Information | |
| Name | Annie Randle |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171200802 |
| 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 | 10003 Amber Circle Waco, Texas 76712 Map It |
| Move To Address | 1513 McFerrin Waco, Texas 76708 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $705.00 |
| Receipt Date | 12/05/2023 |
| Comments | moving fee paid to Al's moving company plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/06/2023 |
