| Payment ID | 115072 |
|---|---|
| Date Created | 07/14/25 5:24 pm |
| Created By | Gloria Jimenez |
| Service Request | 114167 |
| Application ID | 12420 |
| Authorization Number | 226643 |
| Applicant Information | |
| Name | Tyeshia Smith |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171200975 |
| 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 | 5 |
| From | 07/07/2025 |
| To | 07/16/2025 |
| Days | 9 |
| Payment Details | |
| Payment Amount | $502.00 |
| 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 | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/14/2025 |
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