| Payment ID | 23645 |
|---|---|
| Date Created | 04/24/23 10:19 am |
| Created By | Gloria Jimenez |
| Service Request | 22244 |
| Application ID | 13632 |
| Authorization Number | |
| Applicant Information | |
| Name | Quntabia Webb |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701047 |
| 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 | 4 |
| From | 04/14/2023 |
| To | 04/21/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $700.00 |
| Receipt Amount | $1,959.85 |
| Receipt Date | 04/14/2023 |
| Comments | hotel stay at Super 8. departure date is 04/21/23 this amount is for more than 1 service request |
| Receipt | 14-04-2023Webb1959.85.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/24/2023 |
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