| Payment ID | 101636 |
|---|---|
| Date Created | 04/16/25 12:02 pm |
| Created By | Gloria Jimenez |
| Service Request | 98722 |
| Application ID | 83492 |
| Authorization Number | 225520 |
| Applicant Information | |
| Name | Lisa Montgomery |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170103996 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Studio 6 |
| Location Contact Name | Sanjay |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 03/26/2025 |
| To | 04/02/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $500.01 |
| Receipt Amount | $559.18 |
| Receipt Date | 04/02/2025 |
| Comments | hotel stay at Studio 6 departure date is 04/02/26 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | SJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/16/2025 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs