| Payment ID | 18715 |
|---|---|
| Date Created | 02/28/23 2:47 pm |
| Created By | Gloria Jimenez |
| Service Request | 17822 |
| Application ID | 2756 |
| Authorization Number | |
| Applicant Information | |
| Name | Byron Allen |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100260 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Viking Inn |
| Location Contact Name | Sanjay |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 02/21/2023 |
| To | 02/28/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $250.00 |
| Receipt Amount | $250.00 |
| Receipt Date | 02/27/2023 |
| Comments | hotel stay at Viking |
| Receipt | 27-02-2023Allen250.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/28/2023 |
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