| Payment ID | 60996 |
|---|---|
| Date Created | 03/08/24 9:01 am |
| Created By | Gloria Jimenez |
| Service Request | 60297 |
| Application ID | 37661 |
| Authorization Number | 223614 |
| Applicant Information | |
| Name | Susanna Viney |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171202269 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Extended Stay |
| Location Contact Name | Vanya |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 3 |
| From | 03/06/2024 |
| To | 03/13/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $550.00 |
| Receipt Amount | $1,365.00 |
| Receipt Date | 03/07/2024 |
| Comments | payment to Extended stay. This payment includes more than one service request, departure date is 03/13/24 |
| Receipt | 60996-Viney.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/08/2024 |
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