| Payment ID | 37402 |
|---|---|
| Date Created | 08/16/23 1:30 pm |
| Created By | Gloria Jimenez |
| Service Request | 36023 |
| Application ID | 25054 |
| Authorization Number | 222393 |
| Applicant Information | |
| Name | Nikisha Adames |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171101628 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Motel 6 Waco |
| Location Contact Name | Laurel |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Thursday |
| Guests | 7 |
| From | 08/03/2023 |
| To | 08/08/2023 |
| Days | 5 |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $474.93 |
| Receipt Date | 08/03/2023 |
| Comments | hotel stay at Motel 6 departure 08/09/23 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/16/2023 |
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