| Payment ID | 110964 |
|---|---|
| Date Created | 06/16/25 3:49 pm |
| Created By | Gloria Jimenez |
| Service Request | 110629 |
| Application ID | 104596 |
| Authorization Number | 226348 |
| Applicant Information | |
| Name | Amber Hamblen |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171004977 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $80.00 |
| Receipt Amount | $80.00 |
| Receipt Date | 06/16/2025 |
| Comments | Two bus passes delivered |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/16/2025 |
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