| Payment ID | 65897 |
|---|---|
| Date Created | 05/09/24 10:14 am |
| Created By | Gloria Jimenez |
| Service Request | 65056 |
| Application ID | 60236 |
| Authorization Number | 223786 |
| Applicant Information | |
| Name | Maria De Leon |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170803056 |
| 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 | 4000 N 19th St. Apt. 135 Waco, Texas 76708 Map It |
| Move To Address | 5000 Sanger Ave. Apt. 515 Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $805.00 |
| Receipt Date | 05/09/2024 |
| Comments | moving paid to Al's moving company in the amount of $800 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/09/2024 |
