| Payment ID | 14160 |
|---|---|
| Date Created | 12/19/22 2:46 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 8425 |
| Authorization Number | |
| Applicant Information | |
| Name | Nicole Harris |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100680 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | -$394.92 |
| Receipt Date | 12/15/2022 |
| Comments | refund from Super 8 |
| Receipt | 15-12-2022Harris-394.92.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/19/2022 |
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