| Payment ID | 58577 |
|---|---|
| Date Created | 02/14/24 9:44 am |
| Created By | Gloria Jimenez |
| Service Request | 57510 |
| Application ID | 46401 |
| Authorization Number | 223388 |
| Applicant Information | |
| Name | Ruby Roberts |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16164302677 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Studio 6 |
| Location Contact Name | Sanjay |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 2 |
| From | 02/07/2024 |
| To | 02/12/2024 |
| Days | 5 |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $1,600.71 |
| Receipt Date | 02/12/2024 |
| Comments | hotel stay at Studio 6 departure date is 02/14/24. this payment includes more than one service request |
| Receipt | 58577-Roberts.pdf |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/14/2024 |
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