| Payment ID | 32337 |
|---|---|
| Date Created | 07/10/23 11:12 am |
| Created By | Gloria Jimenez |
| Service Request | 26959 |
| Application ID | 24166 |
| Authorization Number | |
| Applicant Information | |
| Name | Dinesti Ellison |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 07466101578 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Other |
| Name of Location | Executive Inn & Suites - 100 FM147 Marlin, TX 76661 (254)883-6000 |
| Start Day | Thursday |
| Guests | 3 |
| From | 05/25/2023 |
| To | 06/08/2023 |
| Days | 14 |
| Payment Details | |
| Payment Amount | $1,100.00 |
| Receipt Amount | $1,097.60 |
| Receipt Date | 07/05/2023 |
| Comments | hotel stay for Executive Inn & Suites departure date is 06/09/23 |
| Receipt | 32337-Ellison.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/10/2023 |
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