| Payment ID | 4938 |
|---|---|
| Date Created | 08/01/22 9:20 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 1051 |
| Authorization Number | |
| Applicant Information | |
| Name | Sharonda Lee |
| Agency Name | ISD |
| Agency Code | 220501 |
| Agency | ISD |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400127 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $474.00 |
| Receipt Date | 07/30/2022 |
| Comments | extended stay at Super 8 |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/01/2022 |
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