| Payment ID | 67880 |
|---|---|
| Date Created | 06/03/24 9:45 am |
| Created By | Gloria Jimenez |
| Service Request | 65900 |
| Application ID | 62722 |
| Authorization Number | 223811 |
| Applicant Information | |
| Name | Crystal Walker |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164003135 |
| 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 | 116 w Birch Elm Mott, Texas 76640 Map It |
| Move To Address | 3109 Mitchell Avenue Waco, Texas 76708 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $605.00 |
| Receipt Date | 05/31/2024 |
| Comments | moving fee paid to Al's moving company plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/03/2024 |
