| Payment ID | 7969 |
|---|---|
| Date Created | 09/12/22 4:20 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 5519 |
| Authorization Number | |
| Applicant Information | |
| Name | Roy Schlasman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100508 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $691.11 |
| Receipt Date | 09/12/2022 |
| Comments | hotel stay at Super 8 arrival date is 9/8/22 through 9/15/22 |
| Receipt | 7969-Schlasman.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| 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