| Payment ID | 14829 |
|---|---|
| Date Created | 01/04/23 10:01 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 14032 |
| Authorization Number | |
| Applicant Information | |
| Name | Mason Grayer |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501069 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $285.00 |
| Receipt Date | 01/03/2023 |
| Comments | hotel stay at Delta Inn departure date is 01/12/23 |
| Receipt | 03-01-2023Grayer285.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/04/2023 |
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