| Payment ID | 27226 |
|---|---|
| Date Created | 05/30/23 11:13 am |
| Created By | Gloria Jimenez |
| Service Request | 26507 |
| Application ID | 20819 |
| Authorization Number | |
| Applicant Information | |
| Name | Kendra Morris |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16169101438 |
| 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 | 2 |
| From | 05/22/2023 |
| To | 05/31/2023 |
| Days | 9 |
| Payment Details | |
| Payment Amount | $801.00 |
| Receipt Amount | $1,423.95 |
| Receipt Date | 05/23/2023 |
| Comments | hotel stay at Super 8 departure date is 06/07/23 |
| Receipt | 27226-Morris.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2023 |
