| Payment ID | 12695 |
|---|---|
| Date Created | 11/29/22 8:08 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 | $623.00 |
| Receipt Date | 11/29/2022 |
| Comments | hotel stay at Super 8 departure date is 12/7/22 |
| Receipt | 29-11-2022SLOVAK623.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/29/2022 |
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