| Payment ID | 460 |
|---|---|
| Date Created | 05/12/22 11:39 am |
| Created By | Yoli |
| Service Request | |
| Application ID | 140 |
| Authorization Number | |
| Applicant Information | |
| Name | Valerie O'Neal |
| Agency Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170600001 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,940.00 |
| Receipt Date | 05/12/2022 |
| Comments | She will be moving in on Saturday 5/14/22 to the Studio 6 Motel in Waco TX |
| Receipt | 460-O039Neal.pdf |
| Staff Name | Yolanda Salazar |
| Staff Signature | |
| Verifier Name | Melvin Collins Jr |
| Verifier Signature | |
| Date Verified | 05/12/2022 |
