| Payment ID | 27287 |
|---|---|
| Date Created | 05/30/23 1:11 pm |
| Created By | Gloria Jimenez |
| Service Request | 25584 |
| Application ID | 19772 |
| Authorization Number | |
| Applicant Information | |
| Name | Cornelius Cross Jr |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170601389 |
| 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 | 1 |
| From | 05/11/2023 |
| To | 05/17/2023 |
| Days | 6 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $178.00 |
| Receipt Date | 05/24/2023 |
| Comments | hotel stay at Super 8 |
| Receipt | 27287-Cross-Jr.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 |
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