| Payment ID | 14274 |
|---|---|
| Date Created | 12/20/22 10:42 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 9538 |
| Authorization Number | |
| Applicant Information | |
| Name | Adriana Gonzalez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600786 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | -$98.73 |
| Receipt Date | 12/19/2022 |
| Comments | refund from Super 8 |
| Receipt | 19-12-2022Gonzalez-98.73.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/20/2022 |
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