| Payment ID | 67844 |
|---|---|
| Date Created | 06/01/24 9:12 am |
| Created By | Gloria Jimenez |
| Service Request | 67290 |
| Application ID | 3489 |
| Authorization Number | |
| Applicant Information | |
| Name | Monique Qualls |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700332 |
| 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 | 500 E Lee Portable #24 Waco, Texas 76704 Map It |
| Move To Address | 5101 Hawthorne Dr #117 Waco, Texas 76710 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $400.00 |
| Receipt Date | 05/31/2024 |
| Comments | moving fee paid to Al's |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/01/2024 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs