| Payment ID | 89744 |
|---|---|
| Date Created | 01/27/25 12:11 pm |
| Created By | Gloria Jimenez |
| Service Request | 88161 |
| Application ID | 80892 |
| Authorization Number | 224708 |
| Applicant Information | |
| Name | Demetre Lang |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170103758 |
| 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 | 815 Columbus Ave Apt# 3404 Waco, Texas 76701 Map It |
| Move To Address | 3132 N 28th Waco, Texas 76708 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $605.00 |
| Receipt Date | 01/27/2025 |
| Comments | moving fee paid to Al's moving company in the amount of $600.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/27/2025 |
