| Payment ID | 66938 |
|---|---|
| Date Created | 05/21/24 2:29 pm |
| Created By | Gloria Jimenez |
| Service Request | 65653 |
| Application ID | 52492 |
| Authorization Number | 223805 |
| Applicant Information | |
| Name | Dondrick Bursey |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171102848 |
| 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 | 3700 Charlton Ave. Waco, Texas 76711 Map It |
| Move To Address | 818 Colcord Ave Apt 5304 Waco, Texas 76707 Map It |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $600.00 |
| Receipt Date | 05/20/2024 |
| Comments | payment to Al's moving company |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/21/2024 |
