| Payment ID | 3505 |
|---|---|
| Date Created | 07/05/22 3:34 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1050 |
| Authorization Number | |
| Applicant Information | |
| Name | Brandy Davis |
| Agency Name | ISD |
| Agency Code | 220501 |
| Agency | ISD |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600126 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,014.06 |
| Receipt Date | 07/05/2022 |
| Comments | Woodspring Suites 2 week stay arrival 7/5/22 thru 7/19/22 |
| Receipt | 05-07-2022Davis1014.06.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/05/2022 |
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