| Payment ID | 24085 |
|---|---|
| Date Created | 04/25/23 3:58 pm |
| Created By | Gloria Jimenez |
| Service Request | 23731 |
| Application ID | 21173 |
| Authorization Number | |
| Applicant Information | |
| Name | Melissa Eversole |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164001462 |
| 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 | 1 |
| From | 04/28/2023 |
| To | 05/03/2023 |
| Days | 5 |
| Payment Details | |
| Payment Amount | $750.00 |
| Receipt Amount | $1,237.01 |
| Receipt Date | 04/25/2023 |
| Comments | hotel stay at Woodsprings arrival 04/14/23 departure date 05/03/23. amount includes payment for service request 23015, 22611 |
| Receipt | 25-04-2023Eversole1237.01.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/25/2023 |
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