| Payment ID | 17919 |
|---|---|
| Date Created | 02/20/23 10:02 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 14906 |
| Authorization Number | |
| Applicant Information | |
| Name | Alyssa Lewis |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601130 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Payment Amount | $543.47 |
| Receipt Amount | $543.47 |
| Receipt Date | 02/17/2023 |
| Comments | hotel stay at Motel 6 departure date is 02/21/23 |
| Receipt | 17-02-2023Lewis543.47.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/20/2023 |
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