| Payment ID | 30371 |
|---|---|
| Date Created | 06/22/23 3:09 pm |
| Created By | Gloria Jimenez |
| Service Request | 29839 |
| Application ID | 24773 |
| Authorization Number | 221988 |
| Applicant Information | |
| Name | Alexandra Barajas |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 11064501610 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Super 8 Hillsboro |
| Location Contact Name | Manager |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 4 |
| From | 06/20/2023 |
| To | 06/28/2023 |
| Days | 8 |
| Payment Details | |
| Payment Amount | $475.00 |
| Receipt Amount | $894.36 |
| Receipt Date | 06/22/2023 |
| Comments | hotel stay at Super 8 Hillsboro, departure date is 07/03/23 |
| Receipt | 30371-Barajas.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/22/2023 |
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