| Payment ID | 76958 |
|---|---|
| Date Created | 09/24/24 11:36 am |
| Created By | Gloria Jimenez |
| Service Request | 73010 |
| Application ID | 69454 |
| Authorization Number | 224250 |
| 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 | 07/31/2024 |
| To | 08/07/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $350.00 |
| Receipt Amount | $700.00 |
| Receipt Date | 09/23/2024 |
| Comments | hotel stay at the Viking Inn, this includes more than one service request |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/24/2024 |
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