| Payment ID | 116538 |
|---|---|
| Date Created | 07/25/25 10:43 am |
| Created By | Gloria Jimenez |
| Service Request | 114487 |
| Application ID | 83536 |
| Authorization Number | 226691 |
| Applicant Information | |
| Name | Heather Rousey |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170404010 |
| 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 | 4 |
| From | 07/09/2025 |
| To | 07/16/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $1,957.18 |
| Receipt Date | 07/24/2025 |
| Comments | hotel stay at Super 8 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/25/2025 |
