| Payment ID | 116535 |
|---|---|
| Date Created | 07/25/25 10:37 am |
| Created By | Gloria Jimenez |
| Service Request | 112364 |
| Application ID | 104331 |
| Authorization Number | 226461 |
| Applicant Information | |
| Name | Kimberly Medrano |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170404959 |
| 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 | 3 |
| From | 06/25/2025 |
| To | 07/02/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $501.00 |
| Receipt Amount | $1,457.17 |
| Receipt Date | 07/24/2025 |
| Comments | hotel stay at Super 8 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/25/2025 |
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