| Payment ID | 71890 |
|---|---|
| Date Created | 07/17/24 10:12 am |
| Created By | Gloria Jimenez |
| Service Request | 71022 |
| Application ID | 69458 |
| Authorization Number | 224105 |
| Applicant Information | |
| Name | Ian Nichols |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170403401 |
| 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 | 07/10/2024 |
| To | 07/17/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $500.01 |
| Receipt Amount | $1,571.46 |
| Receipt Date | 07/11/2024 |
| Comments | hotel stay paid at Super 8 departure date is 07/17/24. this payment includes more than one service request |
| Receipt | 71890-Nichols.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/17/2024 |
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