| Payment ID | 44854 |
|---|---|
| Date Created | 11/16/23 9:34 am |
| Created By | Gloria Jimenez |
| Service Request | 44017 |
| Application ID | 35966 |
| Authorization Number | 222855 |
| Applicant Information | |
| Name | Kiesha Drake |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802190 |
| 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 | 11/08/2023 |
| To | 11/15/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $1,246.00 |
| Receipt Date | 11/10/2023 |
| Comments | hotel stay at Super 8 departure date is 11/15/23. payment includes more than one service request |
| Receipt | 44854-Drake.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 11/16/2023 |
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