| Payment ID | 91785 |
|---|---|
| Date Created | 02/06/25 10:58 am |
| Created By | Gloria Jimenez |
| Service Request | 90301 |
| Application ID | 81201 |
| Authorization Number | 224874 |
| Applicant Information | |
| Name | Brenshanda Wright |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170603769 |
| 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 | 1620 La Salle unit 4003 Waco, Texas 76706 Map It |
| Move To Address | 1516 Gurley Ln Unit 1102 Waco, Texas 76706 Map It |
| Payment Details | |
| Payment Amount | $400.00 |
| Receipt Amount | $400.00 |
| Receipt Date | 02/05/2025 |
| Comments | moving expense paid to Al's moving company |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/06/2025 |
