| Payment ID | 114966 |
|---|---|
| Date Created | 07/14/25 11:46 am |
| Created By | Gloria Jimenez |
| Service Request | 114170 |
| Application ID | 106115 |
| Authorization Number | 226644 |
| Applicant Information | |
| Name | Michael Dionne |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171005054 |
| 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 | 1 |
| From | 07/09/2025 |
| To | 07/16/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $517.34 |
| Receipt Amount | $1,109.10 |
| Receipt Date | 07/11/2025 |
| Comments | hotel stay at Motel 6 departure date is 07/16/25 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/14/2025 |
