| Payment ID | 5014 |
|---|---|
| Date Created | 08/02/22 9:48 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 2765 |
| Authorization Number | |
| Applicant Information | |
| Name | Kelly Muncy |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500262 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $2,368.83 |
| Receipt Date | 07/07/2022 |
| Comments | Motel 6 stay for 30 days. |
| Receipt | 07-07-2022Muncy0.00.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/02/2022 |
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