| Payment ID | 63048 |
|---|---|
| Date Created | 04/01/24 11:30 am |
| Created By | Alan Pace |
| Service Request | 62173 |
| Application ID | 58546 |
| Authorization Number | 223706 |
| Applicant Information | |
| Name | Jeanette Guzman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802988 |
| 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 | Thursday |
| Guests | 5 |
| From | 03/20/2024 |
| To | 03/29/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $2,245.47 |
| Receipt Date | 03/29/2024 |
| Comments | Client stayed 2 days past expected end date due to delayed payment |
| Receipt | 63048-Guzman.pdf |
| Staff Name | Alan Pace |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Alan |
| Verifier Signature | |
| Date Verified | 04/01/2024 |
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