| Payment ID | 23261 |
|---|---|
| Date Created | 04/19/23 2:13 pm |
| Created By | Gloria Jimenez |
| Service Request | 22593 |
| Application ID | 16241 |
| Authorization Number | |
| Applicant Information | |
| Name | Sheila Jackson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401225 |
| 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 | Thursday |
| Guests | 5 |
| From | 04/15/2023 |
| To | 04/22/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $750.00 |
| Receipt Amount | $1,306.17 |
| Receipt Date | 04/17/2023 |
| Comments | hotel stay at Woodsprings departure date is 05/03/23 |
| Receipt | 17-04-2023Jackson1306.17.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/19/2023 |
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