| Payment ID | 8307 |
|---|---|
| Date Created | 09/19/22 2:27 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 6409 |
| Authorization Number | |
| Applicant Information | |
| Name | Yan Jai Pickett |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700568 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,264.86 |
| Receipt Date | 09/19/2022 |
| Comments | hotel stay at American Best Value arrival 9/19/22 departure is 10/03/22 |
| Receipt | 8307-Pickett.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/19/2022 |
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