| Payment ID | 3220 |
|---|---|
| Date Created | 06/28/22 1:42 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 366 |
| Authorization Number | |
| Applicant Information | |
| Name | Teresa King |
| Agency Name | Unknown |
| Unique Identifier | 16171100038 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $164.58 |
| Receipt Date | 06/28/2022 |
| Comments | hotel stay extended departure date is 7/1/22 |
| Staff Name | Gloria Jimenez |
| Case Manager | YS |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/28/2022 |
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