| Payment ID | 27292 |
|---|---|
| Date Created | 05/30/23 1:20 pm |
| Created By | Gloria Jimenez |
| Service Request | 26560 |
| Application ID | 21616 |
| Authorization Number | |
| Applicant Information | |
| Name | Jessica Stafford |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16163801479 |
| 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 | 5 |
| From | 05/24/2023 |
| To | 05/31/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $800.00 |
| Receipt Amount | $1,869.00 |
| Receipt Date | 05/24/2023 |
| Comments | hotel stay at Super 8 departure date is 06/01/23, this amount includes more than one service request |
| Receipt | 27292-Stafford.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2023 |
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