| Payment ID | 23960 |
|---|---|
| Date Created | 04/25/23 11:26 am |
| Created By | Gloria Jimenez |
| Service Request | 23086 |
| Application ID | 17033 |
| Authorization Number | |
| Applicant Information | |
| Name | Victoria Tatum |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170701269 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Delta Inn |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 7 |
| From | 04/18/2023 |
| To | 05/03/2023 |
| Days | 15 |
| Payment Details | |
| Payment Amount | $548.55 |
| Receipt Amount | -$520.93 |
| Receipt Date | 04/20/2023 |
| Comments | refund from Delta Inn client is staying in another hotel |
| Receipt | 20-04-2023Tatum-520.93.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/25/2023 |
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