| Payment ID | 85630 |
|---|---|
| Date Created | 01/08/25 10:33 am |
| Created By | Gloria Jimenez |
| Service Request | 84509 |
| Application ID | 84477 |
| Authorization Number | 224539 |
| Applicant Information | |
| Name | Autumn Nipper |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171004116 |
| 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 | 2 |
| From | 01/03/2025 |
| To | 01/08/2025 |
| Days | 5 |
| Payment Details | |
| Payment Amount | $357.87 |
| Receipt Amount | $357.15 |
| Receipt Date | 01/06/2025 |
| Comments | payment to Super 8 departing the 8th |
| Receipt | 85630-Nipper.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/08/2025 |
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