| Payment ID | 23349 |
|---|---|
| Date Created | 04/20/23 11:10 am |
| Created By | Gloria Jimenez |
| Service Request | 23197 |
| Application ID | 14870 |
| Authorization Number | |
| Applicant Information | |
| Name | Adrian Walker |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501128 |
| 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 | Thursday |
| Guests | 2 |
| From | 04/19/2023 |
| To | 05/03/2023 |
| Days | 14 |
| Payment Details | |
| Payment Amount | $1,400.00 |
| Receipt Amount | $1,246.00 |
| Receipt Date | 04/19/2023 |
| Comments | hotel stay at Super 8, arrival 04/19/23 departure date 05/03/23 |
| Receipt | 19-04-2023Walker1246.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/20/2023 |
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