| Payment ID | 19137 |
|---|---|
| Date Created | 03/06/23 4:19 pm |
| Created By | Gloria Jimenez |
| Service Request | 18179 |
| Application ID | 18123 |
| Authorization Number | |
| Applicant Information | |
| Name | Chanell Ray |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401317 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Other |
| Name of Location | Super 8 |
| Start Day | Thursday |
| Guests | 3 |
| From | 02/22/2023 |
| To | 03/01/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $1,602.00 |
| Receipt Amount | $1,602.00 |
| Receipt Date | 03/01/2023 |
| Comments | hotel stay at Super 8 departure date is 03/13/23. |
| Receipt | 01-03-2023Ray1602.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/06/2023 |
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