| Payment ID | 22136 |
|---|---|
| Date Created | 04/10/23 5:11 pm |
| Created By | Gloria Jimenez |
| Service Request | 21698 |
| Application ID | 14906 |
| Authorization Number | |
| Applicant Information | |
| Name | Alyssa Lewis |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601130 |
| 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 | 4 |
| From | 04/05/2023 |
| To | 04/14/2023 |
| Days | 9 |
| Payment Details | |
| Payment Amount | $977.86 |
| Receipt Amount | $977.86 |
| Receipt Date | 04/05/2023 |
| Comments | hotel stay at Motel 6 from 03/29/23 through 04/12/2023 |
| Receipt | 05-04-2023Lewis977.86.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2023 |
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