| Payment ID | 59179 |
|---|---|
| Date Created | 02/20/24 3:37 pm |
| Created By | Gloria Jimenez |
| Service Request | 54514 |
| Application ID | 50738 |
| Authorization Number | 223322 |
| Applicant Information | |
| Name | Raymond Rollins |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002809 |
| 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 | 1120 N. 34th St #215 Waco, Texas 76710 Map It |
| Move To Address | 2405 JJ Flewellen Rd #1403 Waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $400.00 |
| Receipt Date | 02/13/2024 |
| Comments | moving fee paid to Al's moving company |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/20/2024 |
