| Payment ID | 8010 |
|---|---|
| Date Created | 09/13/22 9:36 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 7101 |
| Authorization Number | |
| Applicant Information | |
| Name | Khimarye Hickman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700595 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $178.00 |
| Receipt Date | 09/12/2022 |
| Comments | extended stay at Super 8 from 9/12/22 through 9/14/22 |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/13/2022 |
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