| Payment ID | 77338 |
|---|---|
| Date Created | 09/28/24 11:28 am |
| Created By | Gloria Jimenez |
| Service Request | 77120 |
| Application ID | 76425 |
| Authorization Number | 224382 |
| Applicant Information | |
| Name | Victoria Jordan |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16116003702 |
| 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 | 09/30/2024 |
| To | 10/07/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $501.00 |
| Receipt Amount | $500.01 |
| Receipt Date | 09/27/2024 |
| Comments | hotel stay starting on the 30th paid for one week |
| Receipt | 77338-Jordan.pdf |
| Staff Name | Gloria |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/28/2024 |
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