| Payment ID | 64008 |
|---|---|
| Date Created | 04/15/24 11:29 am |
| Created By | Gloria Jimenez |
| Service Request | 62465 |
| Application ID | 51408 |
| Authorization Number | 223719 |
| Applicant Information | |
| Name | Antoinette Estrada |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170802818 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Super 8 Waco University Area |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 3 |
| From | 03/25/2024 |
| To | 03/31/2024 |
| Days | 6 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $178.00 |
| Receipt Date | 04/12/2024 |
| Comments | hotel stay at Super 8 |
| Receipt | 64008-Estrada.pdf |
| Staff Name | Gloria |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/15/2024 |
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