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Housing Stability Services Program

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Payment ID45035
Date Created11/18/23 6:47 pm
Created ByGloria Jimenez
Service Request44127
Application ID36791
Authorization Number222868
Applicant Information
NameJennifer Jefferson
Applicant Email AddressEmail hidden; Javascript is required.
Unique Identifier16170802227
Payment TypeShort-Term Hotel/Motel Stays
Type of Service RequestHotel Stay
LocationMotel 6 Waco
Location Contact NameLaurel
Location Email AddressEmail hidden; Javascript is required.
Start DayMonday
Guests2
From11/07/2023
To11/15/2023
Days8
Payment Details
Payment Amount$629.00
Receipt Amount$601.37
Receipt Date11/14/2023
Comments

hotel stay at Motel 6 departure date is 11/15/23

Receipt45035-Jefferson.pdf
Staff NameGloria
Case ManagerDJ
Case Worker EmailEmail hidden; Javascript is required.
Verifier NameGloria Jimenez
Verifier Signature
Date Verified11/18/2023