| Payment ID | 76452 |
|---|---|
| Date Created | 09/16/24 1:13 pm |
| Created By | Gloria Jimenez |
| Service Request | 72978 |
| Application ID | 69430 |
| Authorization Number | 224259 |
| 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 | 08/01/2024 |
| To | 08/07/2024 |
| Days | 6 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $1,071.45 |
| Receipt Date | 09/13/2024 |
| Comments | hotel payment to Super 8, this payment includes more than one service request |
| Receipt | 76452-Cooper.pdf |
| Staff Name | Gloria |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/16/2024 |
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