| Payment ID | 3509 |
|---|---|
| Date Created | 07/05/22 3:47 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 951 |
| Authorization Number | |
| Applicant Information | |
| Name | Rosemary Perez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700117 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $2,104.50 |
| Receipt Date | 07/05/2022 |
| Comments | Red Roof Inn hotel stay for 30 days arrival is 7/7/2022 thru 8/5/22 |
| Receipt | 05-07-2022Perez2104.50.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