| Payment ID | 23094 |
|---|---|
| Date Created | 04/18/23 1:05 pm |
| Created By | Gloria Jimenez |
| Service Request | 21587 |
| Application ID | 19804 |
| Authorization Number | |
| Applicant Information | |
| Name | LINDA Charanza |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501391 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Woodspring Suites |
| Location Contact Name | Everesta |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 2 |
| From | 04/04/2023 |
| To | 04/18/2023 |
| Days | 14 |
| Payment Details | |
| Payment Amount | $1,021.64 |
| Receipt Amount | $270.88 |
| Receipt Date | 04/13/2023 |
| Comments | hotel stay at Woodsprings departure date 04/13/23 |
| Receipt | 13-04-2023Charanza270.88.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/18/2023 |
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