| Payment ID | 112351 |
|---|---|
| Date Created | 06/23/25 10:50 am |
| Created By | Gloria Jimenez |
| Service Request | 110992 |
| Application ID | 104557 |
| Authorization Number | 226373 |
| Applicant Information | |
| Name | Rebecca Walker |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170504975 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Delta Inn |
| Start Day | Monday |
| Guests | 3 |
| From | 06/18/2025 |
| To | 07/01/2025 |
| Days | 14 |
| Payment Details | |
| Payment Amount | $326.57 |
| Receipt Amount | $687.70 |
| Receipt Date | 06/18/2025 |
| Comments | payment made to Delta Inn extending until 07/02/2025 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/23/2025 |
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