| Payment ID | 26329 |
|---|---|
| Date Created | 05/18/23 1:54 pm |
| Created By | Gloria Jimenez |
| Service Request | 25748 |
| Application ID | 16506 |
| Authorization Number | |
| Applicant Information | |
| Name | Kelsey Burch |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401234 |
| 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 | 1 |
| From | 05/11/2023 |
| To | 05/15/2023 |
| Days | 4 |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $153.46 |
| Receipt Date | 05/16/2023 |
| Comments | payment to Woodsprings departure date 05/16/23 |
| Receipt | 26329-Burch.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/18/2023 |
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