| Payment ID | 60486 |
|---|---|
| Date Created | 03/05/24 10:16 am |
| Created By | Gloria Jimenez |
| Service Request | 53339 |
| Application ID | 42833 |
| Authorization Number | 223268 |
| Applicant Information | |
| Name | Berlinda Anderson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170702508 |
| 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 | 1816 N 27th St Waco, Texas 76707 Map It |
| Move To Address | 1100 Woodland W Dr. Apt. 2 Woodway, Texas 76712 Map It |
| Payment Details | |
| Payment Amount | $465.00 |
| Receipt Amount | $1,230.00 |
| Receipt Date | 03/04/2024 |
| Comments | payment to Christian Bros for moving |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/05/2024 |
