| Payment ID | 75569 |
|---|---|
| Date Created | 08/29/24 10:15 am |
| Created By | Gloria Jimenez |
| Service Request | 74406 |
| Application ID | 69454 |
| Authorization Number | 224331 |
| 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 | 08/14/2024 |
| To | 08/21/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $350.00 |
| Receipt Amount | $700.00 |
| Receipt Date | 08/28/2024 |
| Comments | hotel stay at the Viking departure date is 08/28/24 |
| Receipt | 75569-Naimo.pdf |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 08/29/2024 |
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