| Payment ID | 3171 |
|---|---|
| Date Created | 06/28/22 10:11 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1549 |
| Authorization Number | |
| Applicant Information | |
| Name | Markikia White |
| Unique Identifier | 16171000163 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $2,370.00 |
| Receipt Date | 06/27/2022 |
| Comments | hotel stay Super 8 6/27-7-27 |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/27/2022 |
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