| Payment ID | 61623 |
|---|---|
| Date Created | 03/13/24 11:35 am |
| Created By | Gloria Jimenez |
| Service Request | 58237 |
| Application ID | 52118 |
| Authorization Number | 223449 |
| Applicant Information | |
| Name | Felicia Ford |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170702837 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Motel 6 Waco |
| Location Contact Name | Laurel |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Thursday |
| Guests | 2 |
| From | 02/15/2024 |
| To | 02/21/2024 |
| Days | 6 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $442.69 |
| Receipt Date | 03/08/2024 |
| Comments | hotel stay at Motel 6 departure date is 02/21/24 |
| Receipt | 61623-Ford.pdf |
| Staff Name | Gloria |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/13/2024 |
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