| Payment ID | 4565 |
|---|---|
| Date Created | 07/26/22 3:05 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 3489 |
| Authorization Number | |
| Applicant Information | |
| Name | Monique Qualls |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700332 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,818.30 |
| Receipt Date | 07/25/2022 |
| Comments | hotel stay at Woodspring arrival date 8/1/22 thru 8/15/22 |
| Receipt | 4565-Qualls.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/26/2022 |
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