| Payment ID | 48032 |
|---|---|
| Date Created | 12/11/23 3:34 pm |
| Created By | Gloria Jimenez |
| Service Request | 46580 |
| Application ID | 35966 |
| Authorization Number | 223021 |
| 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 | Motel 6 Waco |
| Location Contact Name | Laurel |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 4 |
| From | 12/06/2023 |
| To | 12/13/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $550.00 |
| Receipt Amount | $1,092.06 |
| Receipt Date | 12/11/2023 |
| Comments | hotel stay at Motel 6 departure date is 12/13/23. this payment includes more than one service request |
| Receipt | 48032-Drake.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/11/2023 |
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