| Payment ID | 97681 |
|---|---|
| Date Created | 03/17/25 3:02 pm |
| Created By | Gloria Jimenez |
| Service Request | 95053 |
| Application ID | 85711 |
| Authorization Number | 225244 |
| Applicant Information | |
| Name | Zia Gould |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170504181 |
| 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 | 1301 LaSalle Ave Unit 159 Waco, Texas 76706 Map It |
| Move To Address | 2425 S 21st Street #234 Waco, Texas 76706 Map It |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $401.00 |
| Receipt Date | 03/17/2025 |
| Comments | moving fee paid to Al's moving in the amount of $400.00 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/17/2025 |
