| Payment ID | 81423 |
|---|---|
| Date Created | 12/12/24 12:04 pm |
| Created By | Gloria Jimenez |
| Service Request | 80803 |
| Application ID | 77337 |
| Authorization Number | 224409 |
| Applicant Information | |
| Name | Dollie Thurman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171003729 |
| 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 | 2 |
| From | 12/09/2024 |
| To | 12/18/2024 |
| Days | 9 |
| Payment Details | |
| Payment Amount | $502.00 |
| Receipt Amount | $142.86 |
| Receipt Date | 12/11/2024 |
| Comments | payment to Super 8 for the dates of 12/09 through 12/11 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/12/2024 |
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