| Payment ID | 115627 |
|---|---|
| Date Created | 07/17/25 12:49 pm |
| Created By | Gloria Jimenez |
| Service Request | 108124 |
| Application ID | 85966 |
| Authorization Number | 226082 |
| Applicant Information | |
| Name | LaShanda Smith |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170504190 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Super 8 Waco University Area |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 05/28/2025 |
| To | 06/01/2025 |
| Days | 4 |
| Payment Details | |
| Payment Amount | $285.72 |
| Receipt Amount | $214.29 |
| Receipt Date | 07/15/2025 |
| Comments | hotel stay at Super 8 departure date is 06/03/25 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/17/2025 |
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