| Payment ID | 31239 |
|---|---|
| Date Created | 06/29/23 10:25 am |
| Created By | Gloria Jimenez |
| Service Request | 30287 |
| Application ID | 27643 |
| Authorization Number | 222030 |
| Applicant Information | |
| Name | Angelica Melendez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001765 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Studio 6 |
| Location Contact Name | Sanjay |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 06/22/2023 |
| To | 06/28/2023 |
| Days | 6 |
| Payment Details | |
| Payment Amount | $491.00 |
| Receipt Amount | $581.10 |
| Receipt Date | 06/26/2023 |
| Comments | hotel stay at Studio 6 departure date is 06/28/23 |
| Receipt | 31239-Melendez.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/29/2023 |
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