| Payment ID | 49004 |
|---|---|
| Date Created | 12/18/23 11:13 am |
| Created By | Gloria Jimenez |
| Service Request | 48003 |
| Application ID | 45015 |
| Authorization Number | 223070 |
| Applicant Information | |
| Name | Crystal Cabell |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 14764202617 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Super 8 Waco University Area |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 10 |
| From | 12/13/2023 |
| To | 12/20/2023 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $1,246.00 |
| Receipt Amount | $2,492.00 |
| Receipt Date | 12/13/2023 |
| Comments | hotel stay at Super 8 the payment is for 2 rooms. departure date is 12/20/23, attached are two receipts for both rooms |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/18/2023 |
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