| Payment ID | 29867 |
|---|---|
| Date Created | 06/20/23 11:48 am |
| Created By | Gloria Jimenez |
| Service Request | 28935 |
| Application ID | 20268 |
| Authorization Number | 221934 |
| Applicant Information | |
| Name | Quinntavia Witherspoon |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001412 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Extended Stay |
| Location Contact Name | Vanya |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 2 |
| From | 06/14/2023 |
| To | 06/21/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $822.90 |
| Receipt Amount | $584.64 |
| Receipt Date | 06/15/2023 |
| Comments | hotel stay at Extended stay departure date is 06/21/23 |
| Receipt | 29867-Witherspoon.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/20/2023 |
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