| Payment ID | 81450 |
|---|---|
| Date Created | 12/12/24 12:46 pm |
| Created By | Gloria Jimenez |
| Service Request | 80733 |
| Application ID | 12762 |
| Authorization Number | 224404 |
| Applicant Information | |
| Name | Kimberlee Mabry |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171000997 |
| 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 | 4 |
| From | 12/09/2024 |
| To | 12/16/2024 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $142.86 |
| Receipt Date | 12/11/2024 |
| Comments | payment to Super 8 for 2 days. |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| 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