| Payment ID | 12176 |
|---|---|
| Date Created | 11/22/22 12:17 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 6507 |
| Authorization Number | |
| Applicant Information | |
| Name | EVA SLOVAK |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164000579 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $712.00 |
| Receipt Date | 11/21/2022 |
| Comments | hotel stay at Super 8 departure date is 11/21/2022 |
| Receipt | 21-11-2022SLOVAK712.00.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