| Payment ID | 32376 |
|---|---|
| Date Created | 07/10/23 12:45 pm |
| Created By | Gloria Jimenez |
| Service Request | 29943 |
| Application ID | 23615 |
| Authorization Number | 221991 |
| Applicant Information | |
| Name | Deandrea Smith |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170101567 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Other |
| Name of Location | Uptown Motel |
| Start Day | Monday |
| Guests | 1 |
| From | 06/21/2023 |
| To | 06/28/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $201.25 |
| Receipt Amount | $650.00 |
| Receipt Date | 07/06/2023 |
| Comments | hotel stay at Uptown departure date is 07/07/23 |
| Receipt | 32376-Smith.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| 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