| Payment ID | 3229 |
|---|---|
| Date Created | 06/28/22 2:01 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1736 |
| Authorization Number | |
| Applicant Information | |
| Name | Deosha Wilson |
| Unique Identifier | 16170600189 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,564.00 |
| Receipt Date | 06/22/2022 |
| Comments | hotel stay at La Quinta departure date is 7/3/22 |
| Staff Name | Gloria Jimenez |
| Case Manager | CC |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/22/2022 |
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