| Payment ID | 20611 |
|---|---|
| Date Created | 03/23/23 12:03 pm |
| Created By | Gloria Jimenez |
| Service Request | 20255 |
| Application ID | 3464 |
| Authorization Number | |
| Applicant Information | |
| Name | Courtney Burney |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100328 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Super 8 Waco University Area |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 3 |
| From | 03/22/2023 |
| To | 03/24/2023 |
| Days | 2 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $623.00 |
| Receipt Date | 03/21/2023 |
| Comments | hotel stay paid up until 03/29/23 at Super 8 |
| Receipt | 21-03-2023Burney623.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/23/2023 |
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