| Payment ID | 3690 |
|---|---|
| Date Created | 07/07/22 1:10 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 698 |
| Authorization Number | |
| Applicant Information | |
| Name | Jerriod Carpenter |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100105 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $665.54 |
| Receipt Date | 06/30/2022 |
| Comments | stay extended at Super 8 |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 06/30/2022 |
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