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

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Payment ID29884
Date Created06/20/23 12:17 pm
Created ByGloria Jimenez
Service Request28999
Application ID23296
Authorization Number221940
Applicant Information
NameAsha Page
Applicant Email AddressEmail hidden; Javascript is required.
Unique Identifier16113401555
Payment TypeShort-Term Hotel/Motel Stays
Type of Service RequestHotel Stay
LocationExtended Stay
Location Contact NameVanya
Location Email AddressEmail hidden; Javascript is required.
Start DayMonday
Guests4
From06/14/2023
To06/21/2023
Days7
Payment Details
Payment Amount$700.00
Receipt Amount$644.87
Receipt Date06/20/2023
Comments

hotel stay at Extended Stay departure date is 06/21/23
- Erroneous entry amount of $700 adjusted to match receipt $644.87 06-28-23 - AP

Receipt29884-Page.pdf
Staff NameGloria Jimenez
Case ManagerBJ
Case Worker EmailEmail hidden; Javascript is required.
Verifier NameGloria Jimenez
Verifier Signature
Date Verified06/20/2023