| Payment ID | 3178 |
|---|---|
| Date Created | 06/28/22 10:39 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 2762 |
| Authorization Number | |
| Applicant Information | |
| Name | Shemell Smith |
| Unique Identifier | 16170700261 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,978.14 |
| Receipt Date | 06/27/2022 |
| Comments | hotel stay at Studio 6 for 30 days |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| 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