| Payment ID | 31092 |
|---|---|
| Date Created | 06/28/23 12:40 pm |
| Created By | Gloria Jimenez |
| Service Request | 29891 |
| Application ID | 25054 |
| Authorization Number | 221998 |
| Applicant Information | |
| Name | Nikisha Adames |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171101628 |
| 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 | 7 |
| From | 06/20/2023 |
| To | 07/04/2023 |
| Days | 14 |
| Payment Details | |
| Payment Amount | $1,500.00 |
| Receipt Amount | $858.44 |
| Receipt Date | 06/23/2023 |
| Comments | hotel stay at Motel 6 departure date is 07/01/23 |
| Receipt | 31092-Adames.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/28/2023 |
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