| Payment ID | 14360 |
|---|---|
| Date Created | 12/21/22 8:01 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 11158 |
| Authorization Number | |
| Applicant Information | |
| Name | Yusimil Herrera |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 01870600887 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,147.27 |
| Receipt Date | 12/19/2022 |
| Comments | extended stay at Super 8 departure date is 01/02/23 |
| Receipt | 19-12-2022Herrera1147.27.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/21/2022 |
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