| Payment ID | 49035 |
|---|---|
| Date Created | 12/18/23 1:49 pm |
| Created By | Gloria Jimenez |
| Service Request | 48763 |
| Application ID | 39181 |
| Authorization Number | 223108 |
| Applicant Information | |
| Name | Stephanie Magofna |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171202334 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Extended Stay |
| Location Contact Name | Vanya |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 6 |
| From | 12/14/2023 |
| To | 01/03/2024 |
| Days | 20 |
| Payment Details | |
| Payment Amount | $1,400.00 |
| Receipt Amount | $1,342.96 |
| Receipt Date | 12/15/2023 |
| Comments | HOTEL STAY AT EXTENDED STAY DEPARTURE DATE 01/03/24 |
| Receipt | 49035-Magofna.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| 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