| Payment ID | 19835 |
|---|---|
| Date Created | 03/15/23 11:34 am |
| Created By | Gloria Jimenez |
| Service Request | 19036 |
| Application ID | 8007 |
| Authorization Number | |
| Applicant Information | |
| Name | Frank Attaway |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500652 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Motel 6 Waco |
| Location Contact Name | Laurel |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 03/06/2023 |
| To | 03/13/2023 |
| Days | 6.958333333333333 |
| Payment Details | |
| Payment Amount | $356.00 |
| Receipt Amount | $356.00 |
| Receipt Date | 03/15/2023 |
| Comments | hotel stay at Super 8 departure date is 03/13/23 |
| Receipt | 15-03-2023Attaway356.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/15/2023 |
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