| Payment ID | 54234 |
|---|---|
| Date Created | 01/29/24 10:49 am |
| Created By | Gloria Jimenez |
| Service Request | 53443 |
| Application ID | 49294 |
| Authorization Number | 223262 |
| Applicant Information | |
| Name | SHUNNA JOHNSON |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502772 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Delta Inn |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 01/24/2024 |
| To | 01/31/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $690.00 |
| Receipt Date | 01/25/2024 |
| Comments | hotel stay at Delta inn departure date is 02/01/24 |
| Receipt | 54234-JOHNSON.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/29/2024 |
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