| Payment ID | 3591 |
|---|---|
| Date Created | 07/06/22 2:05 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 634 |
| Authorization Number | |
| Applicant Information | |
| Name | Raydrien Lilly |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170100094 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,201.86 |
| Receipt Date | 06/15/2022 |
| Comments | Super 8 stay for 30 day starting 6/15/22 |
| Staff Name | Gloria Jimenez |
| Case Manager | YS |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/06/2022 |
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