| Payment ID | 12249 |
|---|---|
| Date Created | 11/22/22 3:35 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 6226 |
| Authorization Number | |
| Applicant Information | |
| Name | Sadrina Gardner |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400557 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | -$789.84 |
| Receipt Date | 11/22/2022 |
| Comments | refund from Super 8, client is at Woodspring |
| Receipt | 22-11-2022Gardner-789.84.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