| Payment ID | 8400 |
|---|---|
| Date Created | 09/20/22 10:40 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 462 |
| Authorization Number | |
| Applicant Information | |
| Name | Jasmaine Hollie |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700064 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $281.38 |
| Receipt Date | 09/15/2022 |
| Comments | extended stay paid on 9/15/2022 departure date is 9/19/2022 |
| Receipt | 8400-Hollie.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | AL |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/20/2022 |
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