| Payment ID | 30617 |
|---|---|
| Date Created | 06/26/23 12:18 pm |
| Created By | Gloria Jimenez |
| Service Request | 29885 |
| Application ID | 23354 |
| Authorization Number | 221999 |
| Applicant Information | |
| Name | Bianca Loredo |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170101558 |
| 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 | 1 |
| From | 06/21/2023 |
| To | 06/28/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $2,759.00 |
| Receipt Date | 06/22/2023 |
| Comments | hotel stay at Super 8 departure date is 06/30/23. payment includes more than one service request |
| Receipt | 30617-Loredo.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/26/2023 |
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