| Payment ID | 1344 |
|---|---|
| Date Created | 06/01/22 12:24 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1251 |
| Authorization Number | |
| Applicant Information | |
| Name | McKaylah Sanchez |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170800148 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $2,500.00 |
| Receipt Date | 06/01/2022 |
| Comments | applicant has been verified and approved for short term hotel stay with Super 8 in the amount of $2500.00 |
| Staff Name | Yolanda Salazar |
| Staff Signature | |
| Verifier Name | Gloria JImenez |
| Verifier Signature | |
| Date Verified | 06/01/2022 |
