| Payment ID | 21378 |
|---|---|
| Date Created | 03/31/23 2:46 pm |
| Created By | Rick Jaimes |
| Service Request | 20995 |
| Application ID | 14457 |
| Authorization Number | |
| Applicant Information | |
| Name | Justin Conn |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701100 |
| 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 | 2 |
| From | 03/29/2023 |
| To | 04/07/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $801.00 |
| Receipt Amount | $801.00 |
| Receipt Date | 03/30/2023 |
| Comments | Hotel Stay Super 8 Departure : 4/7/23 |
| Receipt | 30-03-2023Conn801.00.pdf |
| Staff Name | Rick Jaimes |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Rick Jaimes |
| Verifier Signature | |
| Date Verified | 03/31/2023 |
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