| Payment ID | 13018 |
|---|---|
| Date Created | 12/05/22 10:06 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 12843 |
| Authorization Number | |
| Applicant Information | |
| Name | Liza Daniela Ramos |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801009 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Payment Amount | $1,690.99 |
| Receipt Amount | $1,690.99 |
| Receipt Date | 12/01/2022 |
| Comments | hotel stay at Super 8 departure date is 12/20/2022 |
| Receipt | 01-12-2022Ramos1690.99.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/05/2022 |
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