| Payment ID | 7938 |
|---|---|
| Date Created | 09/12/22 2:07 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 4208 |
| Authorization Number | |
| Applicant Information | |
| Name | Sierra Haynes |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 14766700405 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,500.00 |
| Receipt Date | 09/01/2022 |
| Comments | hotel stay at the Mexia Inn |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | BJ |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/12/2022 |
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