| Payment ID | 66942 |
|---|---|
| Date Created | 05/21/24 2:38 pm |
| Created By | Gloria Jimenez |
| Service Request | 65211 |
| Application ID | 63420 |
| Authorization Number | 223837 |
| Applicant Information | |
| Name | Erica Jones |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503164 |
| 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 | 5 |
| From | 05/01/2024 |
| To | 05/03/2024 |
| Days | 2 |
| Payment Details | |
| Payment Amount | $178.00 |
| Receipt Amount | $734.25 |
| Receipt Date | 05/20/2024 |
| Comments | hotel stay at Delta Inn |
| Receipt | 66942-Jones.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| 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