| Payment ID | 66875 |
|---|---|
| Date Created | 05/21/24 11:08 am |
| Created By | Gloria Jimenez |
| Service Request | 65254 |
| Application ID | 63213 |
| Authorization Number | 223791 |
| Applicant Information | |
| Name | Tina Dominguez |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16169103157 |
| 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 | 2 |
| From | 05/01/2024 |
| To | 05/06/2024 |
| Days | 5 |
| Payment Details | |
| Payment Amount | $445.00 |
| Receipt Amount | $801.00 |
| Receipt Date | 05/20/2024 |
| Comments | hotel stay paid departure date is 05/08/24 |
| Receipt | 66875-Dominguez.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/21/2024 |
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