| Payment ID | 7687 |
|---|---|
| Date Created | 09/06/22 4:50 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 5022 |
| Authorization Number | |
| Applicant Information | |
| Name | Cecil Roach |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500458 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $250.00 |
| Receipt Date | 09/01/2022 |
| Comments | extended stay departure date is 9/11//2022 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/06/2022 |
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