| Payment ID | 15434 |
|---|---|
| Date Created | 01/12/23 10:34 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 12843 |
| Authorization Number | |
| Applicant Information | |
| Name | Liza Daniela Ramos |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170801009 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Payment Amount | $623.00 |
| Bank Fees | No |
| Receipt Amount | $623.00 |
| Receipt Date | 01/10/2023 |
| Comments | hotel extension departure date is 01/17/23 |
| Receipt | 10-01-2023Ramos623.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/12/2023 |
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