| Payment ID | 12193 |
|---|---|
| Date Created | 11/22/22 1:18 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 7549 |
| Authorization Number | |
| Applicant Information | |
| Name | Antoinette Guajardo |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000615 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $356.00 |
| Receipt Date | 10/31/2022 |
| Comments | hotel stay paid on 10/31/2022 departure date was 11/04/2022 |
| Receipt | 31-10-2022Guajardo356.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| 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