| Payment ID | 20224 |
|---|---|
| Date Created | 03/20/23 10:41 am |
| Created By | Gloria Jimenez |
| Service Request | 17436 |
| Application ID | 14737 |
| Authorization Number | |
| Applicant Information | |
| Name | Tommie Williams |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170301121 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Other |
| Name of Location | super 8 |
| Start Day | Monday |
| Guests | 1 |
| From | 02/13/2023 |
| To | 02/20/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $644.00 |
| Receipt Amount | $644.00 |
| Receipt Date | 03/17/2023 |
| Comments | hotel stay from 03/15/23 through 03/22/23 |
| Receipt | 17-03-2023Williams644.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/20/2023 |
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