| Payment ID | 63706 |
|---|---|
| Date Created | 04/10/24 4:39 pm |
| Created By | Gloria Jimenez |
| Service Request | 61287 |
| Application ID | 49125 |
| Authorization Number | 223652 |
| Applicant Information | |
| Name | Catherine Walts Zachary |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170602757 |
| Payment Type | Moving Fees |
| Type of Service Request | Moving Fees |
| Moving Company | Al’s Moving Company |
| Contact Name | Al’s Moving Company |
| Is this move related to donated furniture? | No |
| Move From Address | 101 Deanna St Robinson, Texas 76706 Map It |
| Move To Address | 1009 N Valley Mills Dr Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $450.00 |
| Receipt Date | 04/10/2024 |
| Comments | moving expense paid to Al's Moving company |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2024 |
