| Payment ID | 23978 |
|---|---|
| Date Created | 04/25/23 11:43 am |
| Created By | Gloria Jimenez |
| Service Request | 23336 |
| Application ID | 20667 |
| Authorization Number | |
| Applicant Information | |
| Name | Tiffany Sanchez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601432 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Robinson Inn |
| Location Contact Name | Robinson Inn |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Thursday |
| Guests | 3 |
| From | 04/20/2023 |
| To | 05/03/2023 |
| Days | 13 |
| Payment Details | |
| Payment Amount | $896.22 |
| Receipt Amount | $896.22 |
| Receipt Date | 04/20/2023 |
| Comments | hotel stay at Robinson Inn arrival date 04/20/23 departure 05/04/23 |
| Receipt | 20-04-2023Sanchez896.22.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| 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