| Payment ID | 83011 |
|---|---|
| Date Created | 12/20/24 11:29 am |
| Created By | Gloria Jimenez |
| Service Request | 82946 |
| Application ID | 12762 |
| Authorization Number | 224483 |
| 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 | 12/31/2024 |
| To | 01/01/2025 |
| Days | 1 |
| Payment Details | |
| Payment Amount | $125.00 |
| Receipt Amount | $71.43 |
| Receipt Date | 12/19/2024 |
| Comments | hotel stay for the night of Dec 31st |
| Receipt | 83011-Mabry.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/20/2024 |
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