| Payment ID | 76483 |
|---|---|
| Date Created | 09/16/24 3:48 pm |
| Created By | Gloria Jimenez |
| Service Request | 73601 |
| Application ID | 40604 |
| Authorization Number | 224312 |
| Applicant Information | |
| Name | Kayla Nevels |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502419 |
| 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 | 4 |
| From | 08/07/2024 |
| To | 08/14/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $500.01 |
| Receipt Amount | $642.87 |
| Receipt Date | 09/13/2024 |
| Comments | hotel stay at Super 8, this payment includes more than one service request. Hotel were on hold after the 9th of August so everyone was to check out early |
| Receipt | 76483-Nevels.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/16/2024 |
