| Payment ID | 51870 |
|---|---|
| Date Created | 01/11/24 3:18 pm |
| Created By | Gloria Jimenez |
| Service Request | 47853 |
| Application ID | 33496 |
| Authorization Number | 223066 |
| Applicant Information | |
| Name | Anabelle Hernandez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170102076 |
| 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 | 1 |
| From | 12/11/2023 |
| To | 12/20/2023 |
| Days | 9 |
| Payment Details | |
| Payment Amount | $700.00 |
| Receipt Amount | $712.00 |
| Receipt Date | 01/10/2024 |
| Comments | hotel stay at Super 8 departure date is 01/03/23 |
| Receipt | 51870-Hernandez.pdf |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/11/2024 |
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