| Payment ID | 59182 |
|---|---|
| Date Created | 02/20/24 3:52 pm |
| Created By | Gloria Jimenez |
| Service Request | 57043 |
| Application ID | 49358 |
| Authorization Number | 223350 |
| Applicant Information | |
| Name | Renee Garcia |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002786 |
| 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 | 4021 Beverly Dr. Waco, Texas 76711 Map It |
| Move To Address | 3606 W Waco Dr. Apt. D Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $400.00 |
| Receipt Date | 02/13/2024 |
| Comments | moving fee paid to Al's moving company |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/20/2024 |
