| Payment ID | 12142 |
|---|---|
| Date Created | 11/22/22 10:45 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 10003 |
| Authorization Number | |
| Applicant Information | |
| Name | Julian Quiros |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171200828 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,540.78 |
| Receipt Date | 11/21/2022 |
| Comments | hotel stay at Super 8 departure date is 11/30/2022 |
| Receipt | 21-11-2022Quiros1540.78.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