| Payment ID | 76496 |
|---|---|
| Date Created | 09/16/24 4:24 pm |
| Created By | Gloria Jimenez |
| Service Request | 73613 |
| Application ID | 72414 |
| Authorization Number | 224315 |
| Applicant Information | |
| Name | Kamiya Mitchell |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503523 |
| 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 | 3 |
| From | 08/06/2024 |
| To | 08/14/2024 |
| Days | 8 |
| Payment Details | |
| Payment Amount | $571.44 |
| Receipt Amount | $357.15 |
| Receipt Date | 09/13/2024 |
| Comments | hotel stay, departure 08/11/24 |
| Receipt | 76496-Mitchell.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 |
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