| Payment ID | 10268 |
|---|---|
| Date Created | 10/25/22 4:15 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 7829 |
| Authorization Number | |
| Applicant Information | |
| Name | Fletcher Norman |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100633 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $285.20 |
| Receipt Date | 10/25/2022 |
| Comments | extended stay at Delta Inn departure date is 11/03/2022 |
| Receipt | 10268-Norman.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/25/2022 |
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