| Payment ID | 8412 |
|---|---|
| Date Created | 09/20/22 11:21 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 6401 |
| Authorization Number | |
| Applicant Information | |
| Name | Cosheanna Robinson |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400566 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $390.12 |
| Receipt Date | 09/15/2022 |
| Comments | hotel paid on 9/15/2022 departure date 9/19/22 |
| Receipt | 8412-Robinson.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| 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