| Payment ID | 48463 |
|---|---|
| Date Created | 12/13/23 2:08 pm |
| Created By | Gloria Jimenez |
| Service Request | 46310 |
| Application ID | 40079 |
| Authorization Number | 223010 |
| Applicant Information | |
| Name | Tearra Norman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002397 |
| 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 | 3426 w brookview dr apt 756 Waco, Texas 7610 Map It |
| Move To Address | 2108 n 21st Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $400.00 |
| Receipt Date | 12/12/2023 |
| Comments | payment to Al's Moving plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/13/2023 |
