| Payment ID | 108788 |
|---|---|
| Date Created | 05/30/25 11:19 am |
| Created By | Gloria Jimenez |
| Service Request | 107232 |
| Application ID | 107112 |
| Authorization Number | 225980 |
| Applicant Information | |
| Name | Wanda L Black |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16163305090 |
| 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 | 2 |
| From | 05/27/2025 |
| To | 06/01/2025 |
| Days | 8 |
| Payment Details | |
| Payment Amount | $573.71 |
| Receipt Amount | $285.72 |
| Receipt Date | 05/29/2025 |
| Comments | hotel stay paid departing 06/1/25 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2025 |
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