| Payment ID | 64122 |
|---|---|
| Date Created | 04/17/24 10:42 am |
| Created By | Gloria Jimenez |
| Service Request | 61288 |
| Application ID | 57015 |
| Authorization Number | 223651 |
| Applicant Information | |
| Name | Jenna Walton |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171002919 |
| 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 | 1 |
| From | 03/11/2024 |
| To | 03/15/2024 |
| Days | 4 |
| Payment Details | |
| Payment Amount | $320.00 |
| Receipt Amount | $712.00 |
| Receipt Date | 04/12/2024 |
| Comments | hotel stay at Super 8 |
| Receipt | 64122-Walton.pdf |
| Staff Name | Gloria |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/17/2024 |
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