| Payment ID | 81445 |
|---|---|
| Date Created | 12/12/24 12:39 pm |
| Created By | Gloria Jimenez |
| Service Request | 80700 |
| Application ID | 76852 |
| Authorization Number | 224402 |
| Applicant Information | |
| Name | Avianna Gayton |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16179603717 |
| 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 | Thursday |
| Guests | 4 |
| From | 12/05/2024 |
| To | 12/11/2024 |
| Days | 6 |
| Payment Details | |
| Payment Amount | $502.00 |
| Receipt Amount | $428.58 |
| Receipt Date | 12/11/2024 |
| Comments | payment to super 8 through the 11th |
| 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