| Payment ID | 57413 |
|---|---|
| Date Created | 02/05/24 1:01 pm |
| Created By | Gloria Jimenez |
| Service Request | 54287 |
| Application ID | 17174 |
| Authorization Number | 223308 |
| Applicant Information | |
| Name | Conquia Roberts |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170101273 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $120.00 |
| Receipt Amount | $120.00 |
| Receipt Date | 02/05/2024 |
| Comments | 3 bus passes delivered |
| Receipt | 57413-Roberts.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/05/2024 |
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