| Payment ID | 29506 |
|---|---|
| Date Created | 06/15/23 11:46 am |
| Created By | Gloria Jimenez |
| Service Request | 29325 |
| Application ID | 16902 |
| Authorization Number | 221963 |
| Applicant Information | |
| Name | Shelly Barnes |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170501256 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Motel 6 Waco |
| Location Contact Name | Laurel |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 06/14/2023 |
| To | 06/21/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $513.98 |
| Receipt Amount | $546.18 |
| Receipt Date | 06/14/2023 |
| Comments | hotel stay at Motel 6 from 06/14/23 departure 06/21/23 |
| Receipt | 29506-Barnes.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/15/2023 |
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