| Payment ID | 48376 |
|---|---|
| Date Created | 12/13/23 12:13 pm |
| Created By | Gloria Jimenez |
| Service Request | 45685 |
| Application ID | 43575 |
| Authorization Number | 222959 |
| Applicant Information | |
| Name | Syreeta Johnson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171202545 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Christian Brothers Moving Company |
| Contact Name | Christian Brothers Moving Company |
| Contact Email | Email hidden; Javascript is required. |
| Is this move related to donated furniture? | No |
| Move From Address | 1700 Breezy Drive Apt #V167 Waco, Texas 76712 Map It |
| Move To Address | 920 N Valley Mills Drive Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $700.00 |
| Receipt Amount | $530.00 |
| Receipt Date | 12/12/2023 |
| Comments | moving payment to Christian Bros. plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/13/2023 |
