| Payment ID | 71929 |
|---|---|
| Date Created | 07/17/24 11:12 am |
| Created By | Gloria Jimenez |
| Service Request | 70644 |
| Application ID | 69430 |
| Authorization Number | 224084 |
| Applicant Information | |
| Name | Chiniquah Cooper |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16100403399 |
| 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 | Thursday |
| Guests | 5 |
| From | 07/04/2024 |
| To | 07/10/2024 |
| Days | 6 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $357.15 |
| Receipt Date | 07/11/2024 |
| Comments | hotel stay at Super 8 departure date is 07/10/24 |
| Receipt | 71929-Cooper.pdf |
| Staff Name | Gloria |
| Case Manager | CM |
| 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