| Payment ID | 4888 |
|---|---|
| Date Created | 07/31/22 11:04 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 2691 |
| Authorization Number | |
| Applicant Information | |
| Name | Cheryl Sweet |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100252 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,972.80 |
| Receipt Date | 07/05/2022 |
| Comments | hotel stay at Woodspring arriving 7/6/22 through 8/6/22 |
| Receipt | 05-07-2022Sweet0.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/31/2022 |
