| Payment ID | 62968 |
|---|---|
| Date Created | 03/28/24 4:58 pm |
| Created By | Gloria Jimenez |
| Service Request | 60186 |
| Application ID | 25764 |
| Authorization Number | 223601 |
| Applicant Information | |
| Name | Emone Hills |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601668 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Christian Brothers Moving Company |
| Contact Name | Christian Brothers Moving Company |
| Is this move related to donated furniture? | No |
| Move From Address | 1620 LaSalle Avenue 1620 LaSalle Avenue Waco, Texas 76706 Map It |
| Move To Address | 3436 W Brookview Dr Waco, Texas Texas Map It |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $525.00 |
| Receipt Date | 03/04/2024 |
| Comments | payment to Christian Bros. |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/28/2024 |
