| Payment ID | 74404 |
|---|---|
| Date Created | 08/12/24 12:55 pm |
| Created By | Gloria Jimenez |
| Service Request | 73490 |
| Application ID | 69454 |
| Authorization Number | 224295 |
| Applicant Information | |
| Name | Jeff Naimo |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170403400 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Viking Inn |
| Location Contact Name | Sanjay |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 08/07/2024 |
| To | 08/14/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $350.00 |
| Receipt Amount | $700.00 |
| Receipt Date | 08/12/2024 |
| Comments | hotel stay at Viking Inn departure date is 08/14/24 |
| Receipt | 74404-Naimo.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/12/2024 |
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