| Payment ID | 66879 |
|---|---|
| Date Created | 05/21/24 11:22 am |
| Created By | Gloria Jimenez |
| Service Request | 66357 |
| Application ID | 50718 |
| Authorization Number | 223819 |
| Applicant Information | |
| Name | Montina Barlow |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170402808 |
| 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 | 05/15/2024 |
| To | 05/17/2024 |
| Days | 2 |
| Payment Details | |
| Payment Amount | $300.00 |
| Receipt Amount | $979.00 |
| Receipt Date | 05/20/2024 |
| Comments | hotel stay at Super 8 departure date is 05/17/24 |
| Receipt | 66879-Barlow.pdf |
| Staff Name | Gloria |
| Case Manager | BJ |
| 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