| Payment ID | 103801 |
|---|---|
| Date Created | 04/24/25 10:40 am |
| Created By | Gloria Jimenez |
| Service Request | 100421 |
| Application ID | 89115 |
| Authorization Number | 225632 |
| Applicant Information | |
| Name | Sharon Adams |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171004351 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Super 8 Waco University Area |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 04/09/2025 |
| To | 04/16/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $1,608.48 |
| Receipt Date | 04/10/2025 |
| Comments | hotel stay at Super 8, this payment includes more than one service request |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/24/2025 |
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