| Payment ID | 107594 |
|---|---|
| Date Created | 05/23/25 5:11 pm |
| Created By | Gloria Jimenez |
| Service Request | 106811 |
| Application ID | 83352 |
| Authorization Number | 225968 |
| Applicant Information | |
| Name | Serrina Rivera |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171103938 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Motel 6 Waco |
| Location Contact Name | Laurel |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 2 |
| From | 05/20/2025 |
| To | 05/31/2025 |
| Days | 8 |
| Payment Details | |
| Payment Amount | $573.71 |
| Receipt Amount | $813.34 |
| Receipt Date | 05/21/2025 |
| Comments | hotel stay at Motel 6 departure date is 05/31/25 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/23/2025 |
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