| Payment ID | 12122 |
|---|---|
| Date Created | 11/22/22 9:47 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 4955 |
| Authorization Number | |
| Applicant Information | |
| Name | Charelle Price |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000451 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,513.04 |
| Receipt Date | 11/21/2022 |
| Comments | hotel stay at Super 8 departure date is 11/30/2022 |
| Receipt | 21-11-2022Price1513.04.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/22/2022 |
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