| Payment ID | 26845 |
|---|---|
| Date Created | 05/24/23 11:03 am |
| Created By | Gloria Jimenez |
| Service Request | 25265 |
| 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 | 05/10/2023 |
| To | 05/17/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $750.00 |
| Receipt Amount | $413.47 |
| Receipt Date | 05/15/2023 |
| Comments | hotel stay at Super 8 departure date is 05/17/23. there are 2 receipts one amount is $386.46 dated 05/15/23 and the other is $27.01 receipt dated 05/16/23. I had to combine the amount since it's the same service request |
| Receipt | 26845-Webb.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/24/2023 |
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