| Payment ID | 14284 |
|---|---|
| Date Created | 12/20/22 11:00 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 4955 |
| Authorization Number | |
| Applicant Information | |
| Name | Charelle Price |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000451 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,246.00 |
| Receipt Date | 12/19/2022 |
| Comments | hotel extension at Super 8 departure date is 01/02/23 |
| Receipt | 19-12-2022Price1246.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| 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