| Payment ID | 2063 |
|---|---|
| Date Created | 06/13/22 3:36 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 140 |
| Authorization Number | |
| Applicant Information | |
| Name | Valerie O'Neal |
| Unique Identifier | 16170600001 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $505.37 |
| Receipt Date | 06/13/2022 |
| Comments | extended stay |
| Staff Name | Yolanda Salazar |
| Staff Signature | |
| Verifier Name | Gloria JImenez |
| Verifier Signature | |
| Date Verified | 06/13/2022 |
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