| Payment ID | 8132 |
|---|---|
| Date Created | 09/14/22 3:48 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 2784 |
| Authorization Number | |
| Applicant Information | |
| Name | Earl Taylor |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16100000268 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Address of Client Unit | Texas Map It |
| Address for Payment | Texas Map It |
| Address of Client Unit | Texas Map It |
| Address for Payment | Texas Map It |
| Address | Texas Map It |
| Address of Client Unit | Texas Map It |
| Address for Payment | Texas Map It |
| Move From Address | Texas Map It |
| Move To Address | Texas Map It |
| Address | Texas Map It |
| Payment Details | |
| Payment Amount | -$1,740.00 |
| Receipt Amount | -$1,740.00 |
| Receipt Date | 09/01/2022 |
| Comments | refund for hotel stay paid in advance. client was a no show |
| Receipt | 8132-Taylor.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/14/2022 |
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