| Payment ID | 42044 |
|---|---|
| Date Created | 10/16/23 10:01 am |
| Created By | Gloria Jimenez |
| Service Request | 28950 |
| Application ID | 25876 |
| Authorization Number | 221931 |
| Applicant Information | |
| Name | Chris Whitfield |
| Agency Name | ISD |
| Agency Code | 220501 |
| Agency | ISD |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171001680 |
| 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 | 4 |
| From | 06/14/2023 |
| To | 06/21/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $1,246.00 |
| Receipt Date | 10/11/2023 |
| Comments | hotel stay at Super 8 departure date is 06/28/23, this payment includes more than one service request |
| Receipt | 42044-Whitfield.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/16/2023 |
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