| Payment ID | 11173 |
|---|---|
| Date Created | 11/07/22 12:47 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 142 |
| Authorization Number | |
| Applicant Information | |
| Name | Doris Mitchell |
| Agency Name | Housing Authorities |
| Agency Code | 220401 |
| Agency | Housing Authorities |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700002 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $259.98 |
| Receipt Date | 11/07/2022 |
| Comments | hotel extension at Viking total $200.00 plus non-cash charge of $9.98 departure date is 11/14/2022 |
| Receipt | 16170700002-259.98-07-11-2022.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/07/2022 |
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