| Payment ID | 61502 |
|---|---|
| Date Created | 03/12/24 2:17 pm |
| Created By | Gloria Jimenez |
| Service Request | 58280 |
| Application ID | 26354 |
| Authorization Number | 223457 |
| Applicant Information | |
| Name | LaTonia Hughes |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001696 |
| 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 | 200 Texas Central Parkway Waco, Texas 76712 Map It |
| Move To Address | 600 Faulkner Lane Waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $450.00 |
| Receipt Date | 03/12/2024 |
| Comments | payment made to Al's MOving Company |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/12/2024 |
