| Payment ID | 119299 |
|---|---|
| Date Created | 08/31/25 11:31 am |
| Created By | Gloria Jimenez |
| Service Request | 119295 |
| Application ID | 105247 |
| Authorization Number | 226988 |
| Applicant Information | |
| Name | Sarah Ordonez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170405030 |
| 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 | 6 |
| From | 06/18/2025 |
| To | 08/06/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $3,127.25 |
| Receipt Amount | $3,127.25 |
| Receipt Date | 08/26/2025 |
| Comments | 2nd room |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | SJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/31/2025 |
