| Payment ID | 74380 |
|---|---|
| Date Created | 08/12/24 11:47 am |
| Created By | Gloria Jimenez |
| Service Request | 72905 |
| Application ID | 28243 |
| Authorization Number | 224268 |
| Applicant Information | |
| Name | Carol Richard |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401792 |
| 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 | 2405 JJ Flewellen Rd #1104 Waco, Texas 76704 Map It |
| Move To Address | 918 Linn St Waco, Texas 76704 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $401.00 |
| Receipt Date | 08/12/2024 |
| Comments | payment made to Al's Moving Company in the amount of $400.00 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/12/2024 |
