| Payment ID | 41853 |
|---|---|
| Date Created | 10/12/23 5:08 pm |
| Created By | Gloria Jimenez |
| Service Request | 36290 |
| Application ID | 24111 |
| Authorization Number | 222412 |
| Applicant Information | |
| Name | NOAH PELLEY |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164301577 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Super 8 Waco University Area |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 08/09/2023 |
| To | 08/18/2023 |
| Days | 9 |
| Payment Details | |
| Payment Amount | $801.00 |
| Receipt Amount | $2,492.00 |
| Receipt Date | 10/11/2023 |
| Comments | payment made to Super 8 departure date 08/22/23, this payment includes more than one service request |
| Receipt | 41853-PELLEY.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/12/2023 |
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