| Payment ID | 87792 |
|---|---|
| Date Created | 01/16/25 10:38 am |
| Created By | Gloria Jimenez |
| Service Request | 85535 |
| Application ID | 82961 |
| Authorization Number | 224569 |
| Applicant Information | |
| Name | Tonya Burns |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 14764203882 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | OYO Hotel Groesbeck |
| Location Contact Name | OYO Hotel Groesbeck |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 1 |
| From | 01/08/2025 |
| To | 01/15/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $365.00 |
| Receipt Amount | $357.70 |
| Receipt Date | 01/15/2025 |
| Comments | payment to OYO hotel, departure date is 01/15/25 |
| Receipt | 87792-Burns.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/16/2025 |
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